PMID- 35532719 OWN - NLM STAT- MEDLINE DCOM- 20220511 LR - 20220511 IS - 1319-2442 (Print) IS - 1319-2442 (Linking) VI - 32 IP - 5 DP - 2021 Sep-Oct TI - Transcatheter mitral valve repair with a mitraclip for severe mitral regurgitation in a patient on hemodialysis. PG - 1465-1469 LID - 10.4103/1319-2442.344769 [doi] AB - A 55-year-old male patient undergoing hemodialysis (HD) had shortness of breath, New York Heart Association (NYHA) class IIm (moderate limitation of physical activity) due to chronic heart failure. His past medical history was remarkable for chronic heart diseases and severe functional mitral regurgitation (MR), with an ejection fraction of only 33%. The cardiologist considered this severe MR as the cause of his symptom. Due to the multiple comorbidities and low cardiac function, transcatheter mitral valve repair (TMVR) using a MitraClip was selected as an alternative to surgery. TMVR with MitraClip was successfully performed. Postoperatively, the degree of MR decreased from severe to trivial, with an obvious improvement in symptoms to NYHA class I. He was discharged without any postoperative complications. TMVR with MitraClip is an effective nonsurgical treatment for mitral valve disease in HD patients with multiple comorbidities. FAU - Sato, Hirotaka AU - Sato H AD - Department of Internal Medicine, Division of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Sakurada, Tsutomu AU - Sakurada T AD - Department of Internal Medicine, Division of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Kojima, Shigeki AU - Kojima S AD - Department of Internal Medicine, Division of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Okamoto, Takeshi AU - Okamoto T AD - Department of Internal Medicine, Division of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Shibagaki, Yugo AU - Shibagaki Y AD - Department of Internal Medicine, Division of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Ishibashi, Yuki AU - Ishibashi Y AD - Department of Internal Medicine, Division of Cardiology, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Izumo, Masaki AU - Izumo M AD - Department of Internal Medicine, Division of Cardiology, St. Marianna University School of Medicine, Kawasaki, Japan. FAU - Akashi, Yoshihiro J AU - Akashi YJ AD - Department of Internal Medicine, Division of Cardiology, St. Marianna University School of Medicine, Kawasaki, Japan. LA - eng PT - Case Reports PL - Saudi Arabia TA - Saudi J Kidney Dis Transpl JT - Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia JID - 9436968 SB - IM MH - Cardiac Catheterization/adverse effects MH - *Heart Valve Prosthesis Implantation/adverse effects MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve/diagnostic imaging/surgery MH - *Mitral Valve Insufficiency/diagnostic imaging/etiology/surgery MH - Renal Dialysis MH - Stroke Volume MH - Treatment Outcome EDAT- 2022/05/10 06:00 MHDA- 2022/05/12 06:00 CRDT- 2022/05/09 10:59 PHST- 2022/05/09 10:59 [entrez] PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/05/12 06:00 [medline] AID - SaudiJKidneyDisTranspl_2021_32_5_1465_344769 [pii] AID - 10.4103/1319-2442.344769 [doi] PST - ppublish SO - Saudi J Kidney Dis Transpl. 2021 Sep-Oct;32(5):1465-1469. doi: 10.4103/1319-2442.344769.