Transcatheter edge-to-edge repair using MitraClipTM G4 for severe mitral regurgitation in an advanced elderly patient with Barlow disease.
10.3724/zdxbyxb-2024-0431
- Author:
Fei LUO
1
,
2
;
Jiafeng WANG
3
;
Zhifu GUO
1
;
Yongwen QIN
1
;
Yuan BAI
1
,
4
Author Information
1. Department of Cardiology, Changhai Hospital, Shanghai
2. 2872530094@qq.com.
3. Department of Anesthesiology, Changhai Hospital, Shanghai
4. yuanbai@smmu.edu.cn.
- Publication Type:English Abstract
- Keywords:
Barlow disease;
Case report;
Mitral regurgitation;
Nonagenarian;
Transcatheter edge-to-edge repair
- MeSH:
Humans;
Male;
Aged, 80 and over;
Mitral Valve Insufficiency/surgery*;
Mitral Valve Prolapse/diagnostic imaging*;
Cardiac Catheterization/methods*;
Mitral Valve/surgery*;
Heart Valve Prosthesis Implantation/methods*
- From:
Journal of Zhejiang University. Medical sciences
2025;54(2):199-203
- CountryChina
- Language:Chinese
-
Abstract:
A 91-year-old male patient was admitted with a history of mitral valve prolapse diagnosed by physical examination ten years prior and recent onset of exertional chest discomfort persisting for over one month. Transthoracic echocardiography showed that the anterior leaflet of mitral valve was thickened and prolapsed with severe regurgitation, and transesophageal echocardiography further confirmed that the anterior and posterior leaflets of mitral valve were prolapsed with massive regurgitation (A1, A2, A3, P1 and P2 were all prolapsed). Thus, the diagnosis of Barlow syndrome was considered. Transcatheter edge-to-edge mitral repair was performed with two MitraClipTM G4 XTWs. After a 10 months follow-up, the patient's cardiac function was significantly improved, and the degree of mitral regurgitation was mild.
