%0 Journal Article
%T A Rare Case of Improved Mitral Regurgitation after the Inter-Atrial Septal Defect Created during an Unsuccessful Percutaneous Mitra-Clip Placement Attempt
%A Dilesha Dilangi Kumanayaka
%A Zaid Amin
%A Ahsan Khan
%A Addi Suleiman
%J World Journal of Cardiovascular Diseases
%P 360-366
%@ 2164-5337
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcd.2022.127035
%X Percutaneous mitral valve repair has shown to be a less-invasive treatment option for patients with symptomatic severe mitral regurgitation (MR) with multiple comorbidities. We describe a case of improved mitral regurgitation due to improved atrial fibrillation secondary to left atrial pressure relief after the inter-atrial defect created during an unsuccessful mitraclip placement at</span><span style=\"font-family:&quot;white-space:normal;\">tempt. Transthoracic Echocardiogram that was performed on admission showed</span><span style=\"font-family:&quot;white-space:normal;\">&nbsp;severe mitral valve regurgitation. She was not a surgical candidate due to multiple co-morbidities. Patient was then medically optimized and a percutaneous MitraClip placement (PMCP) was attempted but was unsuccessful due to excessive trans-mitral gradient and the procedure was aborted. However, left atrial pressure decreased, likely secondary to inter-atrial septal defect&nbsp;</span><span style=\"font-family:&quot;white-space:normal;\">created by the procedure. Transesophageal echocardiogram performed post-op</span><span style=\"font-family:&quot;white-space:normal;\">&nbsp;showed moderate and improved mitral regurgitation and sinus rhythm. Attempts to convert atrial fibrillation to sinus rhythm to improve mitral regurgitation had to be made before continuing with a mitral clip placement procedure in our case. In our case, the procedure itself did not help patient¡¯s symptoms, but the resulting acute atrial pressure relief improved mitral regurgitation overall due to left to right shunt from iASD, which also helped the rhythm.
%K Mitral Clip Placement
%K Mitral Regurgitation
%K Inter-Atrial Septal Defect
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=118525