Transapical mitral valve implantation after unclipping of a MitraClip: a glimpse into the future and treatment considerations in mitral regurgitation

Abstract

The clinical approach towards high-risk patients with significant MR may change in the next few years. In selected patients, in whom an initial attempt with MitraClip implantation results in only limited efficacy, the clip may be retrieved during the index procedure to allow subsequent TMVI.

Mitral valve surgery following failed MitraClip implantation

“…Among the replacement group (54 patients), bioprostheses were used in 47 patients (87%). A transcatheter MV bioprosthesis was implanted transapically in one case …”

Evaluation of an Explanted Tiara Transcatheter Mitral Valve

“…Much of the patient’s past medical history has previously been published ( 1 ). Briefly, at age 32 years he presented with heart failure, diagnosed as nonischemic dilated cardiomyopathy.…”