Moderate-to-Severe Mitral Regurgitation



Moderate-to-Severe Mitral Regurgitation





A 71-year-old man complains of shortness of breath with chest pressure for 4 days. Past medical history includes end-stage renal disease on dialysis for the past 20 years, congestive heart failure, a biventricular pacemaker and implantable cardioverter-defibrillator, cirrhosis of the liver, and a history of ischemic cardiomyopathy with prior percutaneous coronary interventions.

Routine echocardiography demonstrates moderate-to-severe functional mitral regurgitation. Considering the risk of open heart surgery, a MitraClip (Abbott, Abbott Park, Illinois) procedure was performed to treat his mitral regurgitation.






Figure 64-1.






Figure 64-2.






Figure 64-3.



QUESTION 1. As seen in Figures 64-1, 64-2 and 64-3 and Videos 64-1 to 64-3, a MitraClip procedure was successfully performed with trivial residual mitral regurgitation. Figure 64-4 and Video 64-4, a short-axis image in the level of the aortic valve with color Doppler, show:

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Jul 15, 2016 | Posted by in CARDIOLOGY | Comments Off on Moderate-to-Severe Mitral Regurgitation

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