A 79-year-old woman with a past medical history of dementia, frailty, low body mass index (20.6 kg/m 2 ), thrombocytopenia, and atrial fibrillation, presented with cardiogenic shock. She was intubated for…
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,…
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…
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…
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…
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…
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…
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…
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…
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…
