Transcatheter Mitral Valve Repair Using the Edge-to-Edge Clip

Nyman, Charles; Mackensen, G. Burkhard; Jelačić, Srdjan; Little, Stephen H.; Smith, Thomas W.; Mahmood, Feroze

doi:10.1016/j.echo.2018.01.012

Cited by 40 publications

(21 citation statements)

References 77 publications

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“…Because the MitraClip is analogous to the surgical Alfieri stitch, it is not surprising that an Alfieri stitch also can mimic the appearance of congenital DOMV. 18 An Alfieri stitch is a technique for mitral valve repair for which scallops of the anterior and posterior mitral valve leaflets are sutured together to reduce mitral regurgitation. 19 This creates 2 orifices that may be of equal or different sizes depending on the exact location of suture placement.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal Echocardiographic Evaluation of a Double Orifice Mitral Valve

Fernando

Williamson

Díaz

et al. 2019

Journal of Cardiothoracic and Vascular Anesthesia

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Intraoperative transesophageal echocardiography currently is used routinely for many cardiothoracic surgical procedures. Although it is often used for intraoperative cardiac monitoring and to confirm preoperative echocardiographic findings, it may sometimes result in the discovery of unexpected pathology. In this e-challenge, a patient was found to have a mitral valve abnormality that was not previously detected on the preoperative transthoracic echocardiogram. The mitral valve anomaly subsequently was evaluated to characterize the anatomy, interrogate the valve, and provide a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Transesophageal Echocardiographic Evaluation of a Double Orifice Mitral Valve

Fernando

Williamson

Díaz

et al. 2019

Journal of Cardiothoracic and Vascular Anesthesia

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“…The patient was deemed inoperable due to prohibitive surgical risk (age, subacute myocardial infarction with no-reflow injury, upper thorax radiotherapy, dual antiplatelet therapy, hemodynamic instability; STS score -risk of mortality: 66.6%; Euroscore II: 43.52%) and despite the highly challenging morphology of valvular disease, a salvage MitraClip procedure was the only feasible path. The mechanism of MR was complex: a Carpentier type IIIC (asymmetric systolic restriction) with a main jet located at A3-P3 extended to the medial section of A2-P2, plus a partial posteromedial papillary muscle rupture implicating an additional risk of mechanical complications, a coaptation gap > 10 mm, a posterior leaflet of 9 mm, but without calcifications at the grasping zone and with a suitable MV area ( > 4 cm²) [3] .…”

Section: Case Descriptionmentioning

confidence: 99%

“…Infective endocarditis can cause leaflet perforation and tears, papillary muscle and chordal rupture or may reduce systolic coaptation due to masses or abscesses interfering with leaflets' apposition. "Carpentier types" refer to expanded Carpentier classification [3] Extremely rare etiologies include chest traumas, systemic inflammatory diseases or acute rheumatic fever which remains a serious concern in endemic areas [8,9] .…”

Section: Etiologymentioning

confidence: 99%

Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

Cannata¹,

Sanz‐Sánchez²,

Chiarito³

et al. 2020

Mini-invasive Surg

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Acute mitral regurgitation is a heterogeneous and life-threatening pathology, with severe hemodynamic consequences and extremely adverse outcomes. Traditionally, the definitive treatment is prompt surgical intervention after hemodynamic stabilization. Nowadays, however, percutaneous repair of mitral valve with MitraClip device has emerged as a safe and effective therapeutic option. Evidences in this field are still scarce. Hereby, we report the case of an 82-year-old woman with lateral ST-elevation myocardial infarction determining severe acute mitral regurgitation (MR) with an asymmetric leaflet tethering mechanism. Due to prohibitive operative risk and unstable hemodynamic status, the patient underwent a successful urgent MitraClip procedure with optimal reduction of MR and immediate hemodynamic improvement. Moreover, we provide a review of the available literature regarding the echocardiographic assessment of acute MR, results of published cases and possible management of this complex pathology.

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“…TEE is then used with fluoroscopy for positioning of the TMVR device within the native annulus or surgical ring, usually with 3D imaging or biplane imaging (which requires 3D technology) to avoid malpositioning of the TMVR during deployment [39] . 3D TEE imaging's role is pivotal with MitraClip procedures [40] [ Figure 7], for depth perception as well as the spatial orientation not well appreciated during fluoroscopic imaging [41] .…”

Section: Perioperative 3d Tee For Procedures Guidance and Valvular Assmentioning

confidence: 99%

Clinical and perioperative applications of three-dimensional echocardiography

Rong¹

2019

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The use of three-dimensional echocardiography, both in the clinical cardiology and perioperative settings, has increased thanks to its ability to add important information to the standard bi-dimensional exam and to evaluate structures without geometric assumptions. Both real time three dimensional (3D) transesophageal echo and offline quantitative measurements from 3D acquisitions have become integral for qualitative and quantitative analysis of structures and for surgical and procedural guidance. This review aims to provide an overview on the applications of 3D echo, with particular reference to the perioperative settings.

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Transcatheter Mitral Valve Repair Using the Edge-to-Edge Clip

Cited by 40 publications

References 77 publications

Transesophageal Echocardiographic Evaluation of a Double Orifice Mitral Valve

Transesophageal Echocardiographic Evaluation of a Double Orifice Mitral Valve

Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

Clinical and perioperative applications of three-dimensional echocardiography

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