Evidence map›Paper›PMID 40757069›Full record

ArticleJournal of surgical case reports2025

Minimally invasive mitral valve replacement for posterior leaflet tear following transcatheter edge-to-edge repair using the MitraClip system: a case report.

Hikaru Miyazaki, Ryohei Ushioda, Hidenobu Akamatsu, Tasuku Kawarabayashi, Akito Inoue, Jeonga Lee, Jun Maruoka, Yuki Setogawa, Ryo Okubo, Hiroyuki Miyamoto and 6 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Hikaru MiyazakiDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Ryohei UshiodaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.ORCID https://orcid.org/0009-0007-9875-7245
Hidenobu AkamatsuDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Tasuku KawarabayashiDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Akito InoueDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Jeonga LeeDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Jun MaruokaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Yuki SetogawaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Ryo OkuboDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.ORCID https://orcid.org/0000-0003-1405-060X
Hiroyuki MiyamotoDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Shougo TakahashiDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Daisuke TakeyoshiDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Shingo KuniokaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.ORCID https://orcid.org/0000-0002-7451-5264
Yuya KitaniDivision of Cardiology and Nephrology, Department of Internal Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa 078-8510, Hokkaido, Japan.
Naoko KawabataDivision of Cardiology and Nephrology, Department of Internal Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa 078-8510, Hokkaido, Japan.
Hiroyuki KamiyaDepartment of Cardiac Surgery, Asahikawa Medical University, Midorigaoka 1-1-1, Asahikawa, Hokkaido 078-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of an 80-year-old woman with severe mitral regurgitation, low ejection fraction, frailty, and acute decompensated heart failure. Due to her high surgical risk, transcatheter edge-to-edge repair using the MitraClip system (Abbott, Abbott Park, IL, USA) was attempted by the cardiology team. However, the procedure resulted in a posterior mitral leaflet tear with worsened severe mitral regurgitation. She was subsequently referred to our department, and owing to her clinical deterioration, urgent minimally invasive cardiac surgery mitral valve replacement was performed using a 29-mm bioprosthetic mitral valve (Epic; Abbott, Abbott Park, IL, USA). The patient had an uneventful recovery and was discharged on postoperative Day 13. Mitral valve surgery following failed MitraClip is considered high-risk, with elevated perioperative mortality. However, in frail patients with leaflet injury after MitraClip failure, minimally invasive cardiac surgery mitral valve replacement may represent a more appropriate and less invasive therapeutic option.

Indexed as

frail patientminimally invasive cardiac surgery mitral valve replacementMitraClip

Identifiers

PMID40757069
PMCPMC12315542

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.