Successful Treatment of Mitral Regurgitation after Transapical Transcatheter Aortic Valve Implantation by Percutaneous Edge-to-edge Mitral Valve Repair (MitraClip<sup>®</sup>) -The First Combination Therapy Performed in Japan-
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- Okada Atsushi
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Kanzaki Hideaki
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Amaki Makoto
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Kataoka Yu
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Miyamoto Koji
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Hamatani Yasuhiro
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Fujino Masashi
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Takahama Hiroyuki
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Hasegawa Takuya
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Shimahara Yusuke
- Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Japan
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- Morita Yoshiaki
- Department of Radiology, National Cerebral and Cardiovascular Center, Japan
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- Sugano Yasuo
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Kusano Kengo
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Ohnishi Yoshihiko
- Department of Anesthesiology, National Cerebral and Cardiovascular Center, Japan
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- Fujita Tomoyuki
- Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Japan
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- Kobayashi Junjiro
- Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Japan
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- Anzai Toshihisa
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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- Yasuda Satoshi
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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抄録
<p>A 75-year old man with a history of inferior myocardial infarction was admitted with symptoms of progressive heart failure 3 months after undergoing transapical transcatheter aortic valve implantation (TAVI). Echocardiography revealed severe mitral regurgitation (MR) caused by posterior leaflet tethering, without traumatic injury of the mitral valve or chordae. The patient was successfully treated by percutaneous edge-to-edge mitral valve repair (MitraClip®). This case highlights the role of MitraClip® in high-risk patients suffering from MR, and suggests that apical contractile loss or adhesion caused by apical puncture and suturing in transapical TAVI may be one of the mechanisms of worsening MR. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 57 (8), 1105-1109, 2018
一般社団法人 日本内科学会