First-in-Man MitraClip Implantation to Treat Late Postoperative Systolic Anterior Motion

Successful MitraClip Implantation in a Barlow's Valve: A Feasible Alternative?

“…The mechanisms by which it arises are complex and incompletely understood, but it has been shown to occur in 9%-11% of patients with Barlow's disease after surgical MV repair, possibly related to leaflet elongation. 10,11 It has an association with hypertrophic obstructive cardiomyopathy due to the MV being more susceptible to positioning within the LVOT. Wong et al 12 report the effectiveness of MitraClip in the management of MR and SAM in the setting of hypertrophic obstructive cardiomyopathy.…”

Transcathether Valve Replacement and Valve Repair

“…These include patients with failed mitral annular rings [90][91][92] and systolic anterior motion of the mitral valve. 93,94 3D TEE may also improve procedural success and shorten procedure time for the MitraClip device (Abbott Vascular Structural Heart; Figure 1). 19,21,95 Not only is multiplane imaging (a 3D function) essential during all steps of the procedure, but real-time 3D imaging from a fixed position in the midesophagus allows rapid imaging of clip arm orientation above and below the leaflets (Figure 2).…”

MitraClip Implantation for the Treatment of New-Onset Systolic Anterior Motion of the Mitral Valve After Transcatheter Aortic Valve Replacement

“…In this group of patients, MitraClip has effectively reduced SAM and the degree of LVOT obstruction while improving clinical symptoms. In addition, Agricola and colleagues [4] also showed that Mitra-Clip implantation could be an effective therapeutic strategy for the treatment of late postoperative SAM after surgical mitral valve repair.…”