INTRACEREBRAL HAEMORRHAGE - THE LONG ODD OF MITRAL CLIP IMPLANTATION FOR MITRAL REGURGITATION - A CASE REPORT

Mitral valve regurgitation is a disease attributable to defective closure of mitral valve, leading to back- ow of blood across the valve. It is the commonest variant of valvular heart disease. In cases with severe regurgitation, the circulating blood volume gets severely scarce, owing to regurgitation within left heart chambers. In individuals over the age of 65, who are at high risk of surgical intervention, the Mitraclip technique is a successful and minimally invasive treatment option for mitral regurgitation. However, despite FDA approval for the treatment of high-risk individuals with primary mitral regurgitation (MR), neurological complications such as intracerebral haemorrhage (ICH), cardiac complications like atrial brillation (AF) have been reported. The major goal of this case report is to draw attention to the prospect of intracerebral haemorrhage (ICH) following mitraclip implantation. As of this case, A 78-year-old female with multiple co-morbidities such as systemic hypertension and peripheral neuropathy presented with severe chest pain and was found to have severe MR, severe pulmonary arterial hypertension, normal left ventricular function, an ejection fraction of 68%, and underwent mitraclip implantation. The patient developed right occipital ICH following mitral clip implantation.