Abstract | BACKGROUND: CASE SUMMARY: We report a case of an 82-year-old woman with progressive right-sided heart failure (HF) due to MR and an ASD of secundum type, despite optimal medical therapy. Combined transcatheter mitral valve repair (MVR) by utilizing a separate transseptal puncture and ASD closure was performed resulting in amelioration of symptoms. DISCUSSION: Procedural planning for simultaneous transcatheter therapies of coupled structural heart disease entities remains complex. Our case illustrates feasibility of percutaneous edge-to-edge MVR and consecutive closure of a large secundum ASD. Different options of accessing the left atrium should be discussed on an individual basis, while additional ASD closure may be beneficial in terms of right ventricular function and symptoms of right HF.
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Authors | Fabian Barbieri, Ulf Landmesser, Mario Kasner, Markus Reinthaler |
Journal | European heart journal. Case reports
(Eur Heart J Case Rep)
Vol. 5
Issue 12
Pg. ytab492
(Dec 2021)
ISSN: 2514-2119 [Electronic] England |
PMID | 35047737
(Publication Type: Case Reports)
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Copyright | © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. |