Mitral Stenosis After MitraClip: How to Avoid and How to Treat

Karim Al-Azizi; Molly Szerlip

doi:10.1007/s11886-020-01301-5

Mitral Stenosis After MitraClip: How to Avoid and How to Treat

Curr Cardiol Rep. 2020 Jun 4;22(7):50. doi: 10.1007/s11886-020-01301-5.

Authors

Karim Al-Azizi¹, Molly Szerlip²

Affiliations

¹ Interventional Cardiology and Structural Heart Disease, The Heart Hospital Baylor Plano, Baylor Scott and White Health, 1100 Allied Dr, Plano, TX, 75093, USA.
² Interventional Cardiology and Structural Heart Disease, The Heart Hospital Baylor Plano, Baylor Scott and White Health, 1100 Allied Dr, Plano, TX, 75093, USA. Molly.Szerlip@bswhealth.org.

PMID: 32500412
DOI: 10.1007/s11886-020-01301-5

Abstract

Purpose of review: The goal of the paper is to highlight the importance of procedural planning and patient selection when using the MitraClip device in treating severe mitral regurgitation (MR).

Recent findings: Following the recent results of the COAPT trial and FDA approval for functional MR patients, the indications for mitral clip are continuing to expand. Because of this, mitral stenosis from mitral clip can become a problem if the appropriate patients are not selected. Proper valve imaging, utilizing 3D transesophageal echocardiography to identify the pathology, is important to prevent iatrogenic mitral stenosis. In the unfortunate event of severe mitral stenosis as a result of the MitraClip device, surgery is the only treatment.

Keywords: MitraClip; Mitral regurgitation; Mitral stenosis; Transesophageal echocardiogram.

Publication types

Review

MeSH terms

Echocardiography, Three-Dimensional / methods*
Echocardiography, Transesophageal
Heart Valve Prosthesis Implantation
Humans
Mitral Valve / diagnostic imaging*
Mitral Valve Insufficiency* / therapy
Mitral Valve Stenosis* / diagnosis
Mitral Valve Stenosis* / therapy
Treatment Outcome