Assessment of the MitraClip Procedure: Reassessing the Goals

Daubenspeck, Danisa K.

doi:10.1053/j.jvca.2023.01.027

Cited by 1 publication

(1 citation statement)

References 26 publications

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“…A review has shown that TMVR is less effective in reducing mitral regurgitation but has a lower rate of major adverse events in the rst 30 days postoperatively, and the patient's symptoms and quality of life can improve [20]. This is more consistent with the patient in this case.…”

Section: Discussionsupporting

confidence: 60%

Infective endocarditis with primary thrombocytopenia caused by Aggregatibacter aphrophilus: a case report

Lou,

Zhao,

Jin

et al. 2023

Preprint

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Background: Infective endocarditis (IE) caused by Aggregatibacteraphrophilus, a member of the normal flora of the human oral cavity and upper respiratory tract, is relatively rare. Usually, patients with IE caused by this bacterium undergo surgical treatment; however, in this case, the patient underwent transcatheter mitral valve repair (TMVR), which differed from previous procedures. Case Presentation: A 63-year-old male patient was hospitalized with a 7-day history of fever. His C-reactive protein and procalcitonin levels were elevated. The blood culture specimens were positive and analyzed using mass spectrometry for the presence of A. aphrophilus. Further esophageal echocardiography confirmed that the patient had IE. The patient's fever resolved after ceftriaxone treatment; however, because of his abnormally low platelet count, he underwent TMVR at an outside hospital. He was followed up for 3 months postoperatively with no significant discomfort. Conclusions: This case is instructive in the surgical management of IE caused by A. aphrophilus and provides a new therapeutic option for high-risk patients in the perioperative period.

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Section: Discussionsupporting

confidence: 60%