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CASE REPORTS
Published online: 2019-07-15
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A case of a patient treated with percutaneous edge-to-edge mitral valve repair, percutaneous left atrial appendage occlusion and implantable cardioverter-defibrillator

Wioleta Stolarek, Piotr Adamski, Adam Sukiennik, Ryszard Dobosiewicz, Tomasz Fabiszak
DOI: 10.5603/MRJ.a2019.0028

open access

Ahead of print
CASE REPORTS
Published online: 2019-07-15

Abstract

The article presents the case of a 55-year-old woman who suffered from anterior myocardial infarction and
chronic complications of the underlying disease, heart failure with reduced left ventricular ejection fraction,
severe secondary mitral regurgitation, and paroxysmal atrial fibrillation. Due to the severity of symptoms,
which persisted despite the optimal pharmacotherapy, after exclusion of reversible causes, the patient was
qualified for different advanced percutaneous treatment methods. Within two years from the onset of the
disease, three percutaneous procedures were performed: mitral valve correction with the MitraClip system,
left atrial appendage occlusion using the Watchman system, and implantation of cardioverter-defibrillator.

Abstract

The article presents the case of a 55-year-old woman who suffered from anterior myocardial infarction and
chronic complications of the underlying disease, heart failure with reduced left ventricular ejection fraction,
severe secondary mitral regurgitation, and paroxysmal atrial fibrillation. Due to the severity of symptoms,
which persisted despite the optimal pharmacotherapy, after exclusion of reversible causes, the patient was
qualified for different advanced percutaneous treatment methods. Within two years from the onset of the
disease, three percutaneous procedures were performed: mitral valve correction with the MitraClip system,
left atrial appendage occlusion using the Watchman system, and implantation of cardioverter-defibrillator.

Get Citation

Keywords

heart failure with reduced ejection fraction, mitral regurgitation, percutaneous edge-to-edge mitral valve repair, left atrial appendage occlusion, implantable cardioverter-defibrillator

About this article
Title

A case of a patient treated with percutaneous edge-to-edge mitral valve repair, percutaneous left atrial appendage occlusion and implantable cardioverter-defibrillator

Journal

Medical Research Journal

Issue

Ahead of print

Published online

2019-07-15

DOI

10.5603/MRJ.a2019.0028

Keywords

heart failure with reduced ejection fraction
mitral regurgitation
percutaneous edge-to-edge mitral valve repair
left atrial appendage occlusion
implantable cardioverter-defibrillator

Authors

Wioleta Stolarek
Piotr Adamski
Adam Sukiennik
Ryszard Dobosiewicz
Tomasz Fabiszak

References (12)
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  9. Reddy VY, Möbius-Winkler S, Miller MA, et al. Left atrial appendage closure with the Watchman device in patients with a contraindication for oral anticoagulation: the ASAP study (ASA Plavix Feasibility Study With Watchman Left Atrial Appendage Closure Technology). J Am Coll Cardiol. 2013; 61(25): 2551–2556.
  10. Moss AJ, Zareba W, Hall WJ, et al. Multicenter Automatic Defibrillator Implantation Trial II Investigators. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med. 2002; 346(12): 877–883.
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