Bilge Mehmet, Ali Sina, Alsancak Yakup, Yasar Ayse Saatci
J Heart Valve Dis. 2015 May;24(3):316-9.
Percutaneous valve repair with the MitraClip represents a new and promising therapeutic option for patients with severe mitral regurgitation (MR). Mitral valve prolapse and flail leaflet are two major causes of degenerative MR in patients who underwent the MitraClip procedure. Mitral annular calcification (MAC) is also a less-frequent cause of degenerative MR. Among patients with MAC, open surgical treatment or valvular replacement is the treatment of choice for severe MR. Herein we present a case with severe MR secondary to MAC in whom successful percutaneous valve repair was accomplished with the MitraClip system due to the high risk of open-heart surgery.
使用MitraClip进行经皮瓣膜修复术为严重二尖瓣反流（MR）患者提供了一种新的、有前景的治疗选择。二尖瓣脱垂和连枷样瓣叶是接受MitraClip手术患者发生退行性MR的两个主要原因。二尖瓣环钙化（MAC）也是退行性MR较少见的原因。在MAC患者中，对于严重MR，开胸手术治疗或瓣膜置换是首选治疗方法。在此，我们报告一例继发于MAC的严重MR患者，由于心脏直视手术风险高，使用MitraClip系统成功完成了经皮瓣膜修复。
