Abstract
Background
Management of mitral valve regurgitation in patients with multiple comorbidities is
complicated because of poor surgical candidacy. Less invasive techniques for these
patients include the MitraClip device, an endovascular repair option used to reduce
mitral valve regurgitation symptoms. However, complications include leaflet damage,
stenosis, and infectious endocarditis.
Case Report
Four years after MitraClip placement, an 80-year-old man presented to the emergency
department with progressive dyspnea. He was diagnosed with MitraClip-associated infectious
endocarditis by the emergency physician using point-of-care ultrasound. There are
6 reported cases of infective endocarditis in patients with MitraClip devices, with
this being the first case identified using point-of-care ultrasound. This is also
the first reported case of MitraClip-associated Corynebacterium endocarditis.
Why Should an Emergency Physician Be Aware of This?
The use of the MitraClip device and its echocardiographic appearance is not widely
described in the published emergency medicine literature. Knowledge of this device,
its appearance, and the potential complications is essential for emergency physicians
caring for these patients. Rapid diagnosis may lead to earlier initiation of treatment
and optimal disposition for these complex patients.
Keywords
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Article info
Publication history
Published online: April 01, 2020
Accepted:
February 16,
2020
Received in revised form:
January 15,
2020
Received:
October 21,
2019
Footnotes
Reprints are not available from the authors.
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