The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Monitoring pulmonary artery pressures in chronic heart failure patients and evaluating treatment effect of MitraClip implantation for functional mitral regurgitation

EuroIntervention 2019; just accepted article published in February 2019. DOI: 10.4244/EIJ-D-18-01188

1. Erasmus MC, University Medical Center Rotterdam, Thorax Center, department of Cardiology, Rotterdam, the Netherlands, NETHERLANDS; 2. Erasmus MC, University Medical Center Rotterdam, Thorax Center, department of Cardiology, Rotterdam, the Netherlands; 3. Erasmus MC, University Medical Center Rotterdam, Thorax Center, department of Cardiology, Rotterdam, the Netherlands; 4. Erasmus MC, University Medical Center Rotterdam, Thorax Center, department of Cardiology, Rotterdam, the Netherlands; 5. Erasmus MC, University Medical Center Rotterdam, Thorax Center, department of Cardiology, Rotterdam, the Netherlands
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As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention - has been published immediately upon acceptance as it was received. The content of this article is the sole responsibility of the authors, and not that of the journal or its publishers. To read the full content of this article, please download the PDF.

We present a case evaluating the course of hemodynamic effects of optimal medical heart failure drug therapy and a MitraClip implantation in a patient with end stage heart failure, severe functional mitral valve regurgitation and secondary pulmonary venous hypertension. Despite high dose of diuretics and optimal levels of heart failure drugs, pulmonary artery wedge pressure remained high. The CardioMEMS device was implanted to allow for remote pulmonary artery pressure monitoring. The high dose of diuretics eventually caused prerenal renal insufficiency with persistent elevated right sided pressures. Since it was not known how much the contribution of severe mitral valve regurgitation ...

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