MitraClip Removal During Left Ventricular Assist Device Implantation

Abstract

Mitral regurgitation (MR) is an important consequence of heart failure (HF) patients, which increases hospitalization and mortality rates. The MitraClip procedure is increasingly preferred for HF patients with obvious MR to improve MR and related symptoms. In some cases, patients may need further intervention such as left ventricular assist device implantation with the aim of improving progressive clinical deterioration caused by the progression of HF or mitral clip associated complications (i.e., detachment or mitral stenosis). This case study summarizes our two patients who received concomitant mitral clip removal and left ventricular assist device implantation with clinically successful results.

Therapeutic Strategy in the era of MitraClip and Ventricular Assist Device

“…Kirali and colleagues reported two patients who received concomitant MitraClip removal and LVAD implantation with successful clinical results. 1…”

“…Kirali and colleagues reported two patients who received concomitant MitraClip removal and LVAD implantation with successful clinical results. 1 We congratulate the authors on successful LVAD implantation and concomitant MitraClip removal. During LVAD support, the unremoved clips might migrate due to continuous blood removal via inflow cannula located in the apex even without any clip-related complications.…”