2023 Volume 5 Issue 1 Pages 25-29
Objective: Transcatheter edge-to-edge repair (TEER) of the mitral valve (MV) is usually performed under hemodynamically stable conditions. However, recent attention has focused on its efficacy for cardiogenic shock or acute heart failure. Here, we aimed to demonstrate the efficacy of mitral TEER for patients with acute heart failure complicating severe mitral regurgitation (MR).
Case Presentation: A 74-year-old female was referred to our hospital for the treatment of acute decompensated heart failure (ADHF) complicating severe degenerative MR (DMR) due to P2 prolapse. We performed mitral TEER in the acute phase of ADHF. Postoperatively, her hemodynamics immediately improved and the ADHF resolved. She was discharged 15 days postoperatively in an ambulatory state. As an outpatient, her cardiothoracic ratio and cardiac function showed marked improvement. Although follow-up TTE at 6 months showed severe MR recurrence, this was easily treated using staged TEER.
Conclusion: In this case of medication-resistant ADHF as a complication of severe DMR, TEER in the acute phase was effective in resolving the acute decompensated state.
