Two in a single procedure: combined approach for MitraClip implantation and left atrial appendage occlusion using the Watchman device

J Invasive Cardiol. 2014 Mar;26(3):E32-4.

Abstract

Percutaneous mitral valve repair (MVR) using MitraClip is an effective alternative treatment for patients with severe mitral valve insufficiency and high perioperative risk for surgery. Atrial fibrillation is frequent in patients needing MVR and some of these patients have contraindications for oral anticoagulation. Combining MitraClip implantation and occlusion of the left atrial appendage (LAA) may be of value in these patients with high thromboembolic risk. We report the first case of combined MitraClip procedure and percutaneous LAA closure in a single procedure.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty / methods*
  • Anticoagulants
  • Atrial Appendage / physiopathology*
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / therapy
  • Comorbidity
  • Contraindications
  • Humans
  • Middle Aged
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / therapy*
  • Risk Factors
  • Septal Occluder Device*
  • Surgical Instruments*
  • Therapeutic Occlusion / instrumentation
  • Therapeutic Occlusion / methods*
  • Thromboembolism / epidemiology
  • Treatment Outcome

Substances

  • Anticoagulants