Transcatheter edge-to-edge repair of severe calcific mitral regurgitation facilitated by balloon lithotripsy

Figure 1. Procedural steps of lithotripsy-facilitated mitral edge-to-edge repair. A) Baseline echocardiogram demonstrating severe mitral regurgitation (MR). B) CT scan demonstrating severe mitral annular calcification. C) Fluoroscopy of lithotripsy balloons across the mitral valve. D) 3D echocardiogram of the lithotripsy balloons apposed to the calcified posterior mitral annulus and leaflet. E) Fluoroscopy after MitraClip. F) Echocardiogram demonstrating mild MR after the procedure. LA: left atrium; LV: left ventricle; MAC: mitral annular calcification; * lithotripsy balloon.

A 71-year-old man presented with persistent New York Heart Association (NYHA) Functional Class III dyspnoea after a recent heart failure hospitalisation. His past history included ...