Severe MR With Prior Alfieri Stitch Treated With Transcatheter Edge-to-Edge Repair and a Vascular Plug

Katherine Rajotte; Evan Shalen; Howard K Song; Harsh Golwala; Joaquin Cigarroa; Grant Burch; Firas Zahr; Scott M Chadderdon

doi:10.1016/j.jaccas.2022.06.024

Severe MR With Prior Alfieri Stitch Treated With Transcatheter Edge-to-Edge Repair and a Vascular Plug

JACC Case Rep. 2022 Oct 5;4(19):1314-1318. doi: 10.1016/j.jaccas.2022.06.024.

Authors

Katherine Rajotte¹, Evan Shalen¹, Howard K Song¹, Harsh Golwala¹, Joaquin Cigarroa¹, Grant Burch¹, Firas Zahr¹, Scott M Chadderdon¹

Affiliation

¹ Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA.

Abstract

We present a case of a high-risk surgical patient with prior surgical Alfieri stitch and recurrent severe mitral regurgitation. In cases with suitable anatomy, mitral valve transcatheter edge-to-edge repair and vascular plug closure of a small regurgitant orifice can be used with excellent results. (Level of Difficulty: Advanced.).

Keywords: Alfieri stich; MR, mitral regurgitation; MitraClip; TEE, transesophageal echocardiography; TEER, transcatheter edge-to-edge repair; mitral regurgitation; vascular plug.

Publication types

Case Reports