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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Novel Use of MitraClip for Severe Mitral Regurgitation Due to Infective Endocarditis
Pranav Chandrashekar1, Erin A Fender, Mohammed A Al-Hijji
1Mayo Clinic, 200 First St. SW, Rochester, MN 55905 USA. chandrashekar.pranav@mayo.edu.
Abstract:
A 75-year-old man presented with infective endocarditis. Transesophageal echocardiogram (TEE) revealed mild-moderate mitral regurgitation (MR). After 4 weeks of antibiotics, he presented with New York Heart Association class III dyspnea. Repeat TEE demonstrated severe MR. After consultation with Infectious Diseases, it was determined the infection risk was low and transcatheter mitral valve repair (TMVR) was offered. Deployment of two MitraClip devices (Abbott Vascular) resulted in symptom relief. This case demonstrates a potential role of TMVR in treating acute severe MR due to endocarditis.
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