18 January 2021>: Articles
“Mind the Gap”: An 85-Year-Old Man with Severe Tricuspid Valve Regurgitation Who Underwent Percutaneous Edge-to-Edge Valve Leaflet Plication Using the New and Advanced MitraClip XTR System
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Educational Purpose (only if useful for a systematic review or synthesis)Karin Anne Lydia Mueller A* , Rezo Jorbenadze A , Meinrad Gawaz A , Juergen Schreieck B , Peter Seizer A
Am J Case Rep 2021; 22:e928089
Figure 1. Intraprocedural images of the percutaneous edge-to-edge tricuspid valve repair employing the MitraClip XTR system by transesophageal echocardiography (TEE). (A–D) TEE revealed severe tricuspid valve regurgitation between the anterior and the septal and the posterior and the septal leaflet, coaptation gap size 10.6 mm (A: Mid-esophageal 4 chamber view, B: Corresponding color Doppler imaging, C: Transgastric 3D imaging of tricuspid valve, D: Corresponding color Doppler imaging visualizing origin of TR). (E, F) TEE-view for correct clip rotation of the MitraClip XTR system (E: 3D imaging of clip for correct rotation. F: Corresponding color Doppler imaging, (G, H), After implantation of 2 XTR clips, we achieved significant reduction of TR, with a mild-to-moderate residual TR, Pmean 3 mmHg (G: Mid-esophageal 4 chamber view with XTR clips in final position, H: Corresponding color Doppler imaging). TR – tricuspid regurgitation; S – septal leaflet; A - anterior leaflet; P – posterior leaflet; c – clip, * clip arms.