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An Intriguing Case Report of Functional Mitral Regurgitation Treated With MitraClip
Authors:Vincenzo Duino  Luigi Fiocca  Giuseppe Musumeci  Emilia D’Elia  Mauro Gori  Elisa Cerchierini  Orazio Valsecchi  Michele Senni
Affiliation:From the Cardiovascular Department (VD, LF, GM, ED, MG, OV, MS), Anesthesiology Department (EC), Hospital Papa Giovanni XXIII, Bergamo, Italy.
Abstract:Functional mitral regurgitation (FMR) is frequent in patients with heart failure (HF). It develops as a consequence of left ventricle (LV) geometry alterations, causing imbalance between increased tethering forces and decreased closing forces exerted on the mitral valve apparatus during systole.FMR is known to change at rest and during effort, due to preload–afterload changes, myocardial ischemia, and/or LV dysfunction. Despite optimized medical therapy, an FMR can be responsible of shortness of breath limiting quality of life and decompensation. In this report, we present a case of dynamic FMR treated with MitraClip.MitraClip implantation is a successful and innovative opportunity for HF patients with FMR.
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