Trileaflet Mitral Valve Treated with the MitraClip® System
Rodríguez-Santamarta, M.; Estévez-Loureiro, R.; Benito-González, T.ás.; Gualis, J.; Garrote, C.; Pérez de Prado, A.; Fernández-Vázquez, F.
Journal of Heart Valve Disease 26(5): 589-591
2017
ISSN/ISBN: 0966-8519 PMID: 29762929 Document Number: 692381
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+.