"Unbelievable" care for a challenging heart condition
Carol Friel lived for years with a racing heart and shortness of breath. Her doctor diagnosed Carol with atrial fibrillation (AFib), a common heart rhythm disorder. The Wynnewood resident thought she'd tried about everything to tame her symptoms. "I always had these nasty heart palpitations," she says. "I took medications that would work for a while, but then they would stop working, and I would get disheartened."
A turn for the worse
Friel had been treated numerous times with cardioversion. This procedure delivers an electrical shock to the heart to restore a regular rhythm. She also had a pacemaker implanted to maintain a regular heartbeat.
However, Carol's symptoms worsened, and her heart would not stay in normal rhythm. Maribel Hernandez, MD, a heart rhythm specialist at Main Line Health, used diagnostic testing to help determine her condition.
Mitral valve regurgitation symptoms
Over time, Friel had developed mitral valve regurgitation. This occurs when the leaflets of the mitral valve, one of the four valves in the heart, don't close properly, allowing blood to leak backward. Mitral valve regurgitation, like AFib, can cause symptoms such as shortness of breath, heart palpitations and fatigue.
"I was concerned the regurgitation had worsened," Dr. Hernandez says. "What we found was that Carol's regurgitation due to a leaking mitral valve had become severe and was causing heart failure, which explained the worsening of her symptoms."
To determine the next steps for 79-year-old Carol, Dr. Hernandez consulted with her colleagues: cardiologist James Burke, MD, and Scott Goldman, MD, cardiac surgeon and renowned mitral valve expert.
Mitral valve repair procedure: a less invasive option
The team felt it was time for Friel to consider an intervention to treat her mitral regurgitation. They offered her a state-of-the-art procedure known as transcatheter mitral valve repair using MitraClip therapy, a less invasive alternative to surgery. Unlike open-heart surgery, this procedure does not require opening the chest or stopping the heart. The MitraClip is placed while the heart is still beating, which can mean less stress on the body and easier recovery.
"Because of her age, medical history and other factors, Carol was considered high risk for surgery," Dr. Goldman says. "The great thing about using the MitraClip is that it's a very low-impact procedure. There's almost no recovery time, and patients often feel better immediately."
In January 2019, Dr. Goldman teamed up with William Gray, MD, interventional cardiologist and system chief of Cardiovascular Disease at Main Line Health, to perform Friel's MitraClip procedure.
First, a tube called a catheter was inserted through a small puncture into the vein in her leg. Then, using ultrasound imaging, the physicians guided the catheter with the clip inside and positioned it at the leaky part of the mitral valve. The device grasped the leaflets of the mitral valve and pulled them together. This allowed the valve to close more completely, reducing or eliminating the backward flow of blood.
Experience makes a difference
Transcatheter mitral valve repair using the MitraClip device is one of many innovative treatments offered by Main Line Health. It gives new hope for select high-risk patients who are not candidates for surgery. And Main Line Health physicians are among the region's most experienced in performing the procedure.
Friel saw immediate results. She spent one night in the hospital after her procedure and was amazed at how much better she felt right away.
"I said, 'Oh my God, this is unbelievable,'" Carol recalls. "The shortness of breath was much better, and those symptomatic, horrible heartbeats I had for all those years — they're not there anymore."
Carol sums up her experience with, "From day one at Lankenau Medical Center, my doctors have been unbelievable. I could never leave them because as it turned out, they are the best in the world."
Next steps:
Concerned about your irregular heartbeat? Review the symptoms of a leaking mitral valve and treatment options.
Want to learn more about patients who have had success with MitraClip™ therapy? Meet Leah, who had the procedure in January 2022, and Greg, who had it in November that same year.
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