Interventions for valvular disease and heart failure

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

EuroIntervention 2022;17:1532-1533. DOI: 10.4244/EIJ-D-21-00828

Neil Fam
Neil P. Fam1, MD, MSc; Daniel Hagemeyer1, MD; Anas Merdad1, MBBS; Gianluigi Bisleri1, MD; Geraldine Ong1, MD, MSc
1. St. Michael's Hospital, University of Toronto, Toronto, Canada


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 ...

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