Simplified ELASTA-CLIP Before Transapical Mitral Valve Replacement

Lukas Stolz; Sebastian Sadoni; Sven Peterss; Steffen Massberg; Christian Hagl; Michael Näbauer; Jörg Hausleiter

doi:10.1016/j.jaccas.2023.102086

Simplified ELASTA-CLIP Before Transapical Mitral Valve Replacement

JACC Case Rep. 2023 Oct 27:28:102086. doi: 10.1016/j.jaccas.2023.102086. eCollection 2023 Dec 20.

Authors

Lukas Stolz¹, Sebastian Sadoni², Sven Peterss², Steffen Massberg^{1

3}, Christian Hagl^{2

3}, Michael Näbauer^{1

3}, Jörg Hausleiter^{1

3}

Affiliations

¹ Medizinische Klinik und Poliklinik I, LMU Klinikum, LMU München, Munich, Germany.
² Herzchirurgische Klinik und Poliklinik, LMU Klinikum, LMU München, Munich, Germany.
³ German Center for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.

Abstract

Residual and recurrent mitral regurgitation after transcatheter edge-to-edge repair are therapeutically challenging. In the present case report, we describe a simplified, transapical electrosurgical laceration and stabilization of clip procedure that represents an alternative and direct approach for electrosurgical laceration of mitral valve leaflets enabling transcatheter mitral valve replacement for recurrent mitral regurgitation after mitral valve transcatheter edge-to-edge repair.

Keywords: ELASTA; M-TEER; Tendyne; apical access; transcatheter electrosurgery.