Novel Use of MitraClip for Treatment of Severe Aortic Regurgitation.

A 33-year-old man with unrepaired tetralogy of Fallot, Eisenmenger syndrome, and torrential aortic regurgitation secondary to previous endocarditis (now sterilized) presented to a local hospital with recurrent decompensated heart failure. Gated computed tomography demonstrated no calcification and an annulus area of 1328 mm. The patient's anatomy included an overriding aorta and a large ventriculoseptal defect, allowing for antegrade delivery of a MitraClip NT, which was successfully implanted between the right and noncoronary cusps.

An Unusual Sticky Situation of New-Onset Right Sided Heart Failure.

This case highlights the importance of having constrictive pericarditis (CP) as a differential diagnosis in unexplained sign and symptoms of right-sided heart failure. This case portrays challenges in diagnosing CP caused by certain rheumatologic diseases despite advances in diagnostic modalities, clinical suspicion remains the most important tool for this diagnosis.

Remote Patient Monitoring to Improve Outcomes in Heart Failure.

In chronic medical conditions remote patient monitoring (RPM), is beneficial to empower both medical providers and patients. RPM supports medical care and early interventions to potentially promote patient's disease management and improve outcomes. In heart failure, although RPM holds significant promise, published trials provide evidence regarding historical success and failures that inform future efforts.