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Surgical Revision of Failed Percutaneous Edge-to-Edge Mitral Valve Repair: Lessons Learned

Wednesday, March 6, 2019

Submitted by

Claire Vernon

Source

Source Name: Interactive Cardiovascular and Thoracic Surgery

Source URL: https://doi.org/10.1093/icvts/ivy361

Author(s)

Gyoten Takayuki, Schenk Sören, Rochor Kristin, Axel Harnath, Oliver Grimmig, Just Sören, Fritzsche Dirk

Takayuki and colleagues reviewed the outcome of mitral valve replacement after failed mitral valve repair with MitraClip in 25 patients. Perioperative mortality was 28%, and overall one-year survival was 53%. Risk factors for perioperative mortality included preoperative cardiogenic shock, septic shock, and liver failure. Mitral valve regurgitation after MitraClip implantation was usually caused by valve leaflet damage, degeneration, or infection.