Structural heart cases
Mitral Valve Edge-to-Edge Repair with MitraClip – May 2017

85 year old male presented with progressive dyspnea on exertion (NYHA Class III). Past medial history was significant for MI, CAD with CABG, AF, CKD and Asthma. TTE revealed severe mitral regurgitation with preserved LV function. Coronary angiogram showed native III V CAD and patent grafts. TEE confirmed severe mitral regurgitation (Carpentier type III) with restricted motion of posterior leaflet and two jets located between A2/P2 scallops. The STS mortality risk for Surgical MVR was 17.82 % and the Logistic Euroscore mortality risk was 58.93%. Patient was determined to be at extreme risk for surgical MVR due to co-morbidities. Pt is now planned for mitral valve edge-to-edge repair with MitraClip.

1:29:21

comments

Join the Discussion

2 thoughts on “Mitral Valve Edge-to-Edge Repair with MitraClip – May 2017”

  1. naylin bissessor says:

    Do u think the clip was postioned too laterally on A2 P2. The greater MR was medial to A2P2

  2. Nisanah A. Mohammed says:

    Dr Sharma, Dr Kini and the team are excellent. They save lives daily.


Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
TF-TAVR with No Contrast – September 2020
Views 33

Case and Plan: 61 year-old-male with ETOH abuse, hepatitis and cirrhosis s/p Liver transplant in 6/2019 at MSH with postop course notable for AKI requiring dialysis (last dialysis 7/6/2019), Hypertension, Anemia, Former smoker, CKD stage III.


59:42
Urgent Appropriately Indicated MitraClip Procedure in Patient with Cardiogenic Shock in Covid-19 Era – May 2020
Views 778

 Case and Plan: 74-year-old male former smoker with PMHx of HTN, HLD, and A Fib (on Eliquis) had IW-STEMI on 02/09/20. Cath showed occluded mRCA with dLM bifurcation disease; S/p DES-PPCI to mRCA. Transthoracic echocardiogram at the time of discharge showed an EF of 55% with moderate MR. Pt had staged PCI to dLM […]


TAVR using Transcarotid Access – March 2020
Tags: |
Views 601

Case and Plan: 73-year-old male with hypertension, hyperlipidemia, parathyroidectomy, renal cell carcinoma s/p nephrectomy and right renal transplant in 2001 on chronic steroids and immunosuppressant therapy, paroxysmal atrial fibrillation on AC with warfarin, chronic diastolic heart failure and severe PAD presents with progressive exertional dyspnea NYHA-Class III for the past month after walking up to […]


TAVR with 26mm SAPIEN-3 Ultra Valve via Right Femoral Percutaneous – January 2020
Tags: | |
Views 713

Case and Plan: 81-year-old female with hypertension, ex-smoker, and chronic diastolic heart failure now presents with progressive exertional dyspnea NYHA Class III for the past month after walking up to 1 block. She was noted to have right lower lobe subsegmental pulmonary embolism on recent CT with evidence of old DVT requiring anticoagulation. Echo revealed […]