Combined use of rapid pacing and adenosine facilitates catheter based correction of severe bileaflet prolapse with the MitraClip system

Can J Cardiol. 2013 Feb;29(2):255.e1-3. doi: 10.1016/j.cjca.2012.05.008. Epub 2012 Jul 26.

Abstract

The results of the Endovascular Valve Edge-to-Edge Repair Study (EVEREST) II trial have demonstrated that percutaneous mitral valve repair using the MitraClip in high-risk patients was associated favourable outcomes. However, commonly accepted contraindications for the standard MitraClip procedure include extensively prolapsed valves and flail leaflets. We report on the management of a patient not amenable to standard interventional procedure.

Publication types

  • Case Reports

MeSH terms

  • Adenosine / therapeutic use*
  • Aged, 80 and over
  • Anti-Arrhythmia Agents / therapeutic use
  • Cardiac Catheterization*
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Humans
  • Male
  • Mitral Valve Insufficiency / therapy*
  • Prosthesis Design
  • Severity of Illness Index

Substances

  • Anti-Arrhythmia Agents
  • Adenosine