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Related Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Related Experiment Video

Updated: Apr 19, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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Preoperative evaluation before MitraClip®: present and future perspective.

Gemma Salerno1, Frank Patrick Schmidt, Maurizio Cappelli Bigazzi

  • 1Department of Cardiology, Second University of Naples, Ospedale dei Colli, Naples, Italy.

Future Cardiology
|December 16, 2014
PubMed
Summary

Mitral regurgitation (MR) management includes medical, surgical, and percutaneous options. The MitraClip system offers a promising minimally invasive approach for severe MR, with growing evidence supporting a multiparametric patient selection strategy.

Keywords:
MitraClip® procedurecardiopulmonary exercise testechocardiographymitral regurgitationpercutaneous intervention

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Mitral regurgitation (MR) is a prevalent heart valve disease globally.
  • Current management involves medical therapy, surgery, and percutaneous interventions.
  • Many patients are not referred for surgery due to comorbidities or high surgical risk.

Purpose of the Study:

  • To review the current landscape of mitral regurgitation management.
  • To highlight the growing importance of percutaneous mitral valve repair.
  • To emphasize the potential of the MitraClip system for treating severe MR.

Main Methods:

  • Review of current medical, surgical, and percutaneous treatment strategies for MR.
  • Focus on the MitraClip system as a leading percutaneous approach.
  • Discussion on patient selection criteria for MitraClip implantation.

Main Results:

  • Percutaneous approaches, particularly MitraClip, are emerging as key treatments for severe MR.
  • A significant proportion of eligible patients are not undergoing surgery.
  • Echocardiography is standard for patient selection, but a multiparametric approach is gaining traction.

Conclusions:

  • Percutaneous mitral valve repair offers a less invasive option for severe MR.
  • The MitraClip system is a promising technology in this field.
  • A comprehensive patient assessment, including functional status, may improve selection for percutaneous mitral valve repair.