Open AccessSuccessful mitraclip transcatheter mitral valve repair in the setting of an interatrial mass
Author(s) -
Sankalp Sehgal,
Monica Ahluwalia
Publication year - 2018
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/heartviews.heartviews_68_18
Subject(s) - medicine , mitraclip , interatrial septum , mitral regurgitation , patent foramen ovale , intracardiac injection , mitral valve , thrombus , cardiology , surgery , radiology , atrial fibrillation , left atrium , percutaneous
MitraClip procedure is an emerging minimally invasive technique for patients with severe mitral regurgitation (MR) who are at high risk for surgery. Transseptal puncture is a key step in MitraClip procedure that is usually performed superiorly and posteriorly in the interatrial septum for optimal MitraClip placement. The presence of interatrial masses such as patent foramen ovale closure device or thrombus makes transeptal puncture more challenging. Safety and efficacy of MitraClip transcatheter mitral valve repair in the presence of intracardiac masses have not been described in the literature. This case describes a 65-year-old woman deemed high-risk for surgery, with symptomatic, severe primary MR and an unusual interatrial mass who underwent a successful MitraClip procedure with the use of three-dimensional (3-D) transesophageal echocardiography (TEE).