Korean Circ J.  2020 Sep;50(9):836-838. 10.4070/kcj.2020.0062.

A Case of Successful MitraClip for Severe Mitral Regurgitation with Left Ventricular Dysfunction in Korea

Affiliations
  • 1Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea
  • 2Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea


Figure

  • Figure 1 Severe MR demonstrated on (A, B) Pre-procedural transesophageal echocardiographic left ventricualar outflow tract and intercommissural view. (C) First grasp. (D) Second grasp. Reduced MR reduced after clipping demonstrated on (E,F) Post-procedural transesophageal echocardiographic left ventricualar outflow tract and intercommissural view.MR = mitral regurgitation.

  • Figure 2 (A, B) Transthoracic echocardiographic parasternal long axis and (C,D) apical 3-chamber views showing degenerative mitral valve with severe MR. (E) pre-procedural EROA and regurgitant volume is 0.68 cm2 and 73 mL, respectively. After the MitraClip, (F, G) transthoracic echocardiographic parasternal long axis and (H, I) apical 3-chamber views showing degenerative mitral valve with severe MR. (J) post-procedural EROA and regurgitant volume is 0.21 cm2 and 36 mL, respectively.MR = mitral regurgitation, EROA = effective regurgitant orifice area.


Reference

1. Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017; 38:2739–2791. PMID: 28886619.
2. Stone GW, Lindenfeld J, Abraham WT, et al. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med. 2018; 379:2307–2318. PMID: 30280640.
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3. Choi JY, Hong GR. Transcatheter mitral valve repair: growing evidence regarding it's efficacy and optimal indication. Korean Circ J. 2019; 49:542–544. PMID: 31172712.
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