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You are here: Contents > 2017 > Volume 26 Number 2 March 2017 > CASE REPORTS > Young Patient with Advanced Heart Failure No Longer a Candidate for Heart Transplantation after MitraClip® Procedure

Young Patient with Advanced Heart Failure No Longer a Candidate for Heart Transplantation after MitraClip® Procedure

Cosmo Godino1, Andrea Scotti1,4, Eustachio Agricola1, Carlo A. Pivato1, Mauro Chiarito1, Stefano Stella1, Massimo Maccherini2, Alberto Margonato1, Antonio Colombo1,3

1Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy
2Cardiothoracic Surgery Department, Ospedale Policlinico Santa Maria alle Scotte, Siena, Italy
3EMO-GVM Centro Cuore Columbus, Milan, Italy
4Electronic correspondence: a.scotti@hotmail.com

In Europe, mitral regurgitation (MR) is the second most common form of valvular heart disease requiring surgical treatment. The case is presented of a 36-year-old woman with end-stage heart failure secondary to chemotherapy-induced cardiotoxicity, complicated by severe MR. She was listed for heart transplantation and underwent percutaneous MitraClip® implantation in order to preclude further clinical deterioration while awaiting a suitable donor. The one-year follow-up showed a strong improvement of symptoms and mostly reverse left ventricular remodelling, with consequent removal from the heart transplantation list.


Video 1: Four-chamber view at baseline.

Video 2: Four-chamber view at one-year follow up.

Video 3: Tricuspid regurgitation and right ventricle at baseline.

Video 4: Tricuspid regurgitation and right ventricle at one-year follow up.

The Journal of Heart Valve Disease 2017;26:234-236


Young Patient with Advanced Heart Failure No Longer a Candidate for Heart Transplantation after MitraClip® Procedure

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