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Updated: Apr 12, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
An intriguing case report of functional mitral regurgitation treated with MitraClip
Vincenzo Duino1, Luigi Fiocca, Giuseppe Musumeci
1From the Cardiovascular Department (VD, LF, GM, ED, MG, OV, MS), Anesthesiology Department (EC), Hospital Papa Giovanni XXIII, Bergamo, Italy.
Abstract:
Functional mitral regurgitation (FMR) is frequent in patients with heart failure (HF). It develops as a consequence of left ventricle (LV) geometry alterations, causing imbalance between increased tethering forces and decreased closing forces exerted on the mitral valve apparatus during systole.FMR is known to change at rest and during effort, due to preload-afterload changes, myocardial ischemia, and/or LV dysfunction. Despite optimized medical therapy, an FMR can be responsible of shortness of breath limiting quality of life and decompensation. In this report, we present a case of dynamic FMR treated with MitraClip.MitraClip implantation is a successful and innovative opportunity for HF patients with FMR.
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