Trileaflet Mitral Valve Treated with the MitraClip® System

J Heart Valve Dis. 2017 Sep;26(5):589-591.

Abstract

A 79-year-old woman with a history of ischemic dilated cardiomyopathy, severely depressed left ventricular ejection fraction and significant mitral regurgitation (MR) was admitted to the authors´ institution for percutaneous mitral valve repair. Transesophageal echocardiography (TEE) revealed the presence of a posterior mitral cleft at the P2 level, causing a trileaflet mitral valve that contributed significantly to the regurgitant jet. The procedure was performed under general anesthesia and guided by real-time three-dimensional TEE. Three MitraClip® devices (Abbott Vascular, Santa Clara, CA, USA) were implanted, which reduced the MR to grade 1+.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiomyopathy, Dilated* / diagnosis
  • Cardiomyopathy, Dilated* / physiopathology
  • Echocardiography, Three-Dimensional / methods
  • Echocardiography, Transesophageal / methods
  • Female
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Mitral Valve Insufficiency* / diagnosis
  • Mitral Valve Insufficiency* / etiology
  • Mitral Valve Insufficiency* / physiopathology
  • Mitral Valve Insufficiency* / surgery
  • Mitral Valve* / abnormalities
  • Mitral Valve* / diagnostic imaging
  • Mitral Valve* / surgery
  • Severity of Illness Index
  • Stroke Volume
  • Treatment Outcome
  • Ventricular Dysfunction, Left* / diagnosis
  • Ventricular Dysfunction, Left* / physiopathology