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Impact of Percutaneous Edge-to-Edge Repair in Patients With Atrial Functional Mitral Regurgitation by Jun Yoshida; Hiroki Ikenaga; Takafumi Nagaura; Hiroto Utsunomiya; Makoto Kawai; Moody Makar; Florian Rader; Robert J. Siegel; Saibal Kar; Raj R. Makkar; Takahiro Shiota is a Medicine article available to read on EtoBox.
What is Impact of Percutaneous Edge-to-Edge Repair in Patients With Atrial Functional Mitral Regurgitation about?
## Background: The aim of this study was to clarify the clinical outcomes of patients with atrial functional mitral regurgitation (fmr) who underwent the mitraclip procedure compared with those with conventional fmr and sinus rhythm (sr).methods and results:of 303 patients with fmr who underwent the mitraclip procedure, 40 with "atrial-fmr" defined as fmr with permanent atrial fibrillation and normal left ventricular (lv) function/size and 115 with "sinus-fmr" defined as fmr with sr and lv dysfunction were reviewed. transthoracic and 3d transesophageal echocardiography, and the cardiac complication rate (composite of all-cause death, heart failure admission, mitral valve (mv) surgery, and redo mitraclip procedure) during the 12-month follow-up were compared between the groups. after the mitraclip procedure, reductions in the mitral annular area and its anteroposterior dimension and in the leaflet closure area were observed in both groups. mv orifice area was smaller with greater transmitral pressure gradient (p<0.05) after the procedure in atrial-fmr patients than in those with sinus-fmr. the prevalence of residual mr was similar, but significant tricuspid regurgitation (tr) was mo
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- Author
- Jun Yoshida; Hiroki Ikenaga; Takafumi Nagaura; Hiroto Utsunomiya; Makoto Kawai; Moody Makar; Florian Rader; Robert J. Siegel; Saibal Kar; Raj R. Makkar; Takahiro Shiota
- Publisher
- Japanese Circulation Society
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)