Progressive Mitral Stenosis After MitraClip Implantation in a Patient With Systemic Inflammatory Disease.
Ann Thorac Surg
; 102(2): e89-91, 2016 Aug.
Article
em En
| MEDLINE
| ID: mdl-27449466
ABSTRACT
We describe a patient at high surgical risk who was successfully treated with a MitraClip (Abbott Vascular, Menlo Park, CA) without transmitral gradient. She received corticosteroid therapy for systemic lupus erythematosus, and progressive mitral stenosis developed late after MitraClip implantation. It gradually increased and reached 23 mm Hg at 28 months after the procedure; during the same period, her dose of prednisone had to be increased owing to lupus flare. Systemic inflammatory disease has the potential to result in mitral valve inflammation and fibrosis, ultimately causing thickening of the tissue bridge and worsening of the mitral valve obstruction. Preprocedural counseling regarding durability may help in this population.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Angioplastia
/
Ecocardiografia Transesofagiana
/
Implante de Prótese de Valva Cardíaca
/
Insuficiência da Valva Mitral
/
Estenose da Valva Mitral
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article