Management of MitraClip Single-Leaflet Detachment with an Additional Clip and an Amplatzer Vascular Plug

Chetan P. Huded, MD, MSc; Samir Kapadia, MD; Samuel Horr, MD; Albree Tower-Rader, MD; Zoran B. Popović, MD; Rhonda Miyasaka, MD; Amar Krishnaswamy, MD

JACC: Case Reports (Dec 2019)

Management of MitraClip Single-Leaflet Detachment with an Additional Clip and an Amplatzer Vascular Plug

Chetan P. Huded, MD, MSc,
Samir Kapadia, MD,
Samuel Horr, MD,
Albree Tower-Rader, MD,
Zoran B. Popović, MD,
Rhonda Miyasaka, MD,
Amar Krishnaswamy, MD

Affiliations

Chetan P. Huded, MD, MSc: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Samir Kapadia, MD: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Samuel Horr, MD: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Albree Tower-Rader, MD: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Zoran B. Popović, MD: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Rhonda Miyasaka, MD: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Amar Krishnaswamy, MD: Address for correspondence: Dr. Amar Krishnaswamy, Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, Desk J2-3, Cleveland, Ohio 44195.; Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio

Journal volume & issue: Vol. 1, no. 5
pp. 755 – 760

Abstract

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Single-leaflet detachment of the MitraClip is a mechanism of early failure, but management is challenging and often requires surgical repair. This case report describes a novel transcatheter approach to repairing severe mitral regurgitation after MitraClip single-leaflet detachment by placement of an additional clip and an Amplatzer vascular plug. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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