Late MitraClip procedure after left atrial appendage occlusion: indication and procedure description

Catheter Cardiovasc Interv. 2014 Feb;83(2):291-6. doi: 10.1002/ccd.24890. Epub 2013 Mar 22.


We report the first human case of percutaneous edge-to-edge mitral valve repair using MitraClip System (Abbott Vascular, Abbott Park, IL) in a patient, who previously underwent left atrial appendage closure with PLAATO™ System (ev3. Inc., Plymouth, MN). The procedure was successfully performed using the standard MitraClip technique, in the catheterization laboratory, with transesophageal echocardiographic and fluoroscopic guidance. We showed that a double percutaneous procedure for stroke prevention and mitral regurgitation treatment might be a valid approach in selected patients ineligible for chronic anticoagulation therapy and at high risk for conventional cardiac surgery.

Keywords: left atrial appendage closure; trans-septal catheterization; valvular heart disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Appendage / physiopathology*
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / therapy*
  • Cardiac Catheterization / instrumentation*
  • Echocardiography, Doppler, Color
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Equipment Design
  • Female
  • Fluoroscopy
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology*
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / therapy*
  • Radiography, Interventional / methods
  • Stroke / etiology
  • Stroke / prevention & control
  • Surgical Instruments*
  • Treatment Outcome