Barlow’s Valve Therapy
A 67-year-old man with severe symptoms from mitral regurgitation (MR) secondary to Barlow’s disease was evaluated. On transesophageal echocardiography, there was a flail leaflet (A, arrowhead) with severe MR (B,…
Use of Low-Profile Catheter for Continuous Left Atrial Pressure Monitoring During Transcatheter Mitral Valve Repair
An 88-year-old woman with severe mitral regurgitation (MR) was hospitalized with pulmonary edema. She had a history of coronary artery disease, acute on chronic renal failure, atrial fibrillation, and morbid…
Optimization of Multiple Clip Placement
An 83-year-old man with severe degenerative mitral regurgitation (MR) and multiple morbidities is referred for transcatheter repair with MitraClip (Abbott Vascular, Santa Clara, CA). A, Baseline transesophageal echocardiogram showing severe…
Importance of Hemodynamics for Assessing Residual Regurgitation
An 84-year-old man was referred for treatment of symptomatic, severe mitral regurgitation (MR), in the setting of multiple, high-risk morbidities (for example, prior stroke, chronic renal failure, and frailty). His…
Mitral Annular Calcification and Transcatheter Mitral Valve Repair
A 90-year-old woman was referred for treatment of symptomatic mitral regurgitation (MR) with MitraClip (Abbott Vascular, Santa Clara, CA). Her medical history was significant for chronic renal insufficiency (estimated glomerular…
The Zip-and-Clip Technique in Transcatheter Mitral Valve Repair
A 90-year-old woman with severe symptomatic mitral regurgitation (MR) and prohibitive surgical risk was referred for transcatheter mitral valve repair with MitraClip (Abbott Vascular, Santa Clara, CA). A, On transesophageal…
Challenges of Transcatheter Therapy for Functional Mitral Regurgitation
A 78-year-old man with progressive dyspnea was referred for evaluation of mitral valve (MV) disease. The echocardiogram demonstrated a dilated left ventricle with severely reduced systolic function and severe functional…
Optimal Intraprocedural Guidance for Mitral Therapy
Transesophageal echocardiography (TEE) is essential for guiding transcatheter mitral valve (MV) therapy, such as MitraClip (Abbott Vascular, Santa Clara, CA). A–F, Imaging guidance for the transseptal puncture (arrowheads). A, Bicaval…
Advanced Steering in the Left Atrium for an Aortic Hugger
The preferred location for the transseptal puncture in a MitraClip procedure is posterior and at the level of the medial commissure of the mitral valve. Some punctures, however, may occur…
Transcatheter Repair of Ruptured Papillary Muscle
An 85-year-old man with severe aortic stenosis underwent transcatheter, transapical placement of a 26 mm Sapien S3 prosthesis. Following aortic valve replacement, new, severe mitral regurgitation (MR) occurred due to rupture…
