Incremental value of three-dimensional transesophageal echocardiography over the two-dimensional technique in the assessment of a partially detached MitraClip.
MitraClip
mitral clip detachment
mitral regurgitation
mitral surgery
three-dimensional echocardiography
transesophageal echocardiography
two-dimensional echocardiography
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
20
02
2021
received:
24
01
2021
accepted:
28
02
2021
pubmed:
23
3
2021
medline:
10
7
2021
entrez:
22
3
2021
Statut:
ppublish
Résumé
We describe an elderly male patient with two MitraClip devices, one fixed and the other detached, in whom live/real-time three-dimensional echocardiography (3DTEE) provided incremental value and additional information compared to two-dimensional transesophageal echocardiography (2DTEE). 3DTEE offered the ability to comprehensively assess the mitral valve (MV) utilizing full volume and multiplanar reconstruction (MPR) modes. 3DTEE proved useful in assessing the position of the properly attached and the partially detached MitraClip, including assessment of orifice size and degree of mitral regurgitation (MR). In addition, trapping of MV chordae by both clips was noted in the 3DTEE image dataset and confirmed at the time of surgery. Chordal trapping was not detected by 2DTEE. 3DTEE proved useful in more accurately estimating the severity of residual MR with the MitraClips in place since the regurgitant jet vena contracta (VC) could be viewed en face and VC area measured by planimetry in the correct imaging plane as compared to limited linear images from 2DTEE.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
693-696Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Chhatriwalla AK, Vemulapalli S, Holmes DR, et al. Institutional experience with transcatheter mitral valve repair and clinical outcomes: insights from the TVT registry. JACC Cardiovasc Interv. 2019;12(14):1342-1352.
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Tay EL, Lim DS, Yip J. Redo MitraClip mitral valve repair after a late single leaflet detachment. Catheter Cardiovasc Interv. 2014;84(1):160-163.
Braun D, Orban M, Michalk F, et al. Three-dimensional transoesophageal echocardiography for the assessment of clip attachment to the leaflets in percutaneous edge-to-edge repair of the mitral valve. EuroIntervention. 2013;8(12):1379-1387.