Transcatheter mitral valve repair in a liver transplant candidate


Ates I., MUTLU D., Inanc I. H., Marmagkiolis K., Iliescu C. A., Kilic I. D., ...More

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, vol.39, no.12, pp.1631-1634, 2022 (SCI-Expanded)

  • Publication Type: Article / Article
  • Volume: 39 Issue: 12
  • Publication Date: 2022
  • Doi Number: 10.1111/echo.15494
  • Journal Name: ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.1631-1634
  • Keywords: heart failure, MitraClip, liver transplant, mitral regurgitation, SURGERY
  • Istanbul University Affiliated: No

Abstract

Untreated severe mitral regurgitation (MR) is associated with poor outcomes due to the adverse consequences of long-standing volume overload on the left ventricle and left atrium, which leads to pulmonary hypertension and right-sided heart failure. Early intervention results in favorable long-term outcomes making appropriate timing of intervention very critical. We present a 53-year-old male with severe symptomatic MR and right sided-heart failure which progressed to cardiac cirrhosis necessitating enrollment to the liver transplant list. Transcatheter mitral valve repair (TMVR) using MitraClip implantation resulted in impressive clinical improvement and resolution of cirrhosis. Eventually, the patient was taken off the transplant list. Treatment of severe MR may lead to improvements in congestive hepatopathy.