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