PMID- 36618845
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230111
IS  - 1878-5409 (Electronic)
IS  - 1878-5409 (Linking)
VI  - 27
IP  - 1
DP  - 2023 Jan
TI  - Efficacy of MitraClip and continued multidisciplinary cardiac rehabilitation in 
      preventing readmission of an older heart failure patient with severe 
      multivalvular disease: A case report.
PG  - 23-26
LID - 10.1016/j.jccase.2022.09.007 [doi]
AB  - The recommendations for the treatment of heart failure patients with severe 
      multivalvular disease are not clear. We present a successful case of an older 
      patient with heart failure and severe multivalvular disease in whom 
      rehospitalization was prevented by a combination of MitraClip implantation 
      (Abbott Vascular, Santa Clara, CA, USA) and continued multidisciplinary cardiac 
      rehabilitation. An 85-year-old male patient presented with New York Heart 
      Association (NYHA) class III severe mitral regurgitation (MR), severe aortic 
      valve regurgitation (AR), and severe tricuspid valve regurgitation (TR). As first 
      choice of treatment, surgical double valve replacement and tricuspid annuloplasty 
      were considered. However, considering his age, pre-frailty condition, risks of 
      surgery, and the desire of the patient, the heart team percutaneously implanted 
      the MitraClip system. After implantation of one MitraClip (placed centrally on 
      the A2/P2 scallops), the severity of the patient's MR decreased to mild from 
      moderate-severe. He was followed up with multidisciplinary inpatient care and 
      outpatient cardiac rehabilitation. At 1 year follow-up, he remained in stable 
      condition at NYHA class I, and echocardiography at this time revealed moderate MR 
      and TR and severe AR, and he has not required hospital readmission. LEARNING 
      OBJECTIVE: This case report showed that a combination of MitraClip implantation 
      (Abbott Vascular, Santa Clara, CA, USA) and continued multidisciplinary cardiac 
      rehabilitation may be effective in preventing readmission in older patients with 
      heart failure and severe multivalvular disease.
CI  - (c) 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights 
      reserved. All rights reserved.
FAU - Ishihara, Kodai
AU  - Ishihara K
AD  - Department of Rehabilitation, Sakakibara Heart Institute of Okayama, Okayama, 
      Japan.
AD  - Department of Public Health, Graduate School of Health Sciences, Kobe University, 
      Kobe, Japan.
AD  - Cardiovascular stroke Renal Project (CRP), Kobe, Japan.
FAU - Izawa, Kazuhiro P
AU  - Izawa KP
AD  - Department of Public Health, Graduate School of Health Sciences, Kobe University, 
      Kobe, Japan.
AD  - Cardiovascular stroke Renal Project (CRP), Kobe, Japan.
FAU - Morikawa, Takao
AU  - Morikawa T
AD  - Department of Cardiology, Sakakibara Heart Institute of Okayama, Okayama, Japan.
FAU - Hayashida, Akihiro
AU  - Hayashida A
AD  - Department of Cardiology, Sakakibara Heart Institute of Okayama, Okayama, Japan.
LA  - eng
PT  - Case Reports
DEP - 20220928
PL  - Japan
TA  - J Cardiol Cases
JT  - Journal of cardiology cases
JID - 101549579
PMC - PMC9808429
OTO - NOTNLM
OT  - Heart failure
OT  - MitraClip
OT  - Multidisciplinary cardiac rehabilitation
OT  - Multivalvular disease
COIS- K. I. and K.P. I. declare that there is no conflict of interest. T. M. and A. H. 
      are speakers, consultants and proctors for Abbott Medical Japan (MitraClip) and 
      report receiving honoraria from Abbott Medical Japan.
EDAT- 2023/01/10 06:00
MHDA- 2023/01/10 06:01
PMCR- 2022/09/28
CRDT- 2023/01/09 03:38
PHST- 2022/07/31 00:00 [received]
PHST- 2022/09/03 00:00 [revised]
PHST- 2022/09/11 00:00 [accepted]
PHST- 2023/01/09 03:38 [entrez]
PHST- 2023/01/10 06:00 [pubmed]
PHST- 2023/01/10 06:01 [medline]
PHST- 2022/09/28 00:00 [pmc-release]
AID - S1878-5409(22)00163-3 [pii]
AID - 10.1016/j.jccase.2022.09.007 [doi]
PST - epublish
SO  - J Cardiol Cases. 2022 Sep 28;27(1):23-26. doi: 10.1016/j.jccase.2022.09.007. 
      eCollection 2023 Jan.