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Updated: Aug 18, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Clipping Barlow’s mitral valve to rescue a patient with acute biventricular failure
Ching-Wei Lee1,2, Shih-Hsien Sung1,2, Wei-Ming Huang1,2
1Division of Cardiology, Department of Medicine, Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan.
Abstract:
Percutaneous edge-to-edge mitral repair with the MitraClip device is an alternative therapy for patients with severe mitral regurgitation. Given that Barlow's disease is characterised by multiple prolapsed segments and multiple regurgitant jets, the MitraClip is not recommended. Herein, we present the case of a 42-year-old gentleman who suffered acute biventricular failure due to a primary chordae rupture of Barlow's mitral valve. Because of prohibitive surgical risk, he was successfully rescued using transcatheter edge-to-edge mitral repair. Our critical case may demonstrate the feasibility of MitraClip use as a rescue therapy for patients with acute severe mitral regurgitation.
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