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Percutaneous mitral valve repair assisted by a catheter-based circulatory support device in a heart transplant patient
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  • Gaik Nersesian,
  • Daniel Lewin,
  • Felix Schoenrath,
  • Natalia Solowjowa,
  • Marian Kukucka,
  • Volkmar Falk,
  • Christoph Klein,
  • Evgenij Potapov,
  • Axel Unbehaun
Gaik Nersesian
Deutsches Herzzentrum Berlin
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Daniel Lewin
Deutsches Herzzentrum Berlin
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Felix Schoenrath
Deutsches Herzzentrum Berlin
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Natalia Solowjowa
Deutsches Herzzentrum Berlin
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Marian Kukucka
Deutsches Herzzentrum Berlin
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Volkmar Falk
Deutsches Herzzentrum Berlin
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Christoph Klein
Deutsches Herzzentrum Berlin
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Evgenij Potapov
Deutsches Herzzentrum Berlin
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Axel Unbehaun
Deutsches Herzzentrum Berlin
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Abstract

Abstract Systemic infections and chronic graft rejection represent common causes of mortality and morbidity in heart transplant patients. In severe cases, cardiogenic shock (CS) may occur and require hemodynamic stabilization with temporary mechanical circulatory support (tempMCS).1 Under these devastating circumstances, treatment of sequelae of left ventricular dysfunction, such as secondary mitral regurgitation (MR) is challenging, especially when surgical repair is deemed futile. In non-transplant patients, interventional mitral valve repair strategies such as the MitraClip system (Abbott Cardiovascular, Plymouth, MN, USA) have been used to successfully treat secondary MR and allow for weaning from tempMCS.2 We report about the first patient in whom profound cardiogenic shock after heart transplantation was stabilized with tempMCS followed by interventional elimination of secondary MR.

Peer review status:ACCEPTED

23 Jun 2021Submitted to Journal of Cardiac Surgery
24 Jun 2021Submission Checks Completed
24 Jun 2021Assigned to Editor
24 Jun 2021Reviewer(s) Assigned
25 Jun 2021Review(s) Completed, Editorial Evaluation Pending
25 Jun 2021Editorial Decision: Revise Minor
26 Jun 20211st Revision Received
28 Jun 2021Submission Checks Completed
28 Jun 2021Assigned to Editor
29 Jun 2021Reviewer(s) Assigned
30 Jun 2021Review(s) Completed, Editorial Evaluation Pending
30 Jun 2021Editorial Decision: Accept