Neil P. Fam1, MD, MSc; Faeez M. Ali1, MD; Magdi Hassanin1, MD; Geraldine Ong1, MSc, MD
1. Division of Cardiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada
Figure 1. TTVr with the modified TriClip/MitraClip G4 system. A) Baseline transoesophageal echo (TEE) 150-degree view demonstrating large posterior leaflet flail. B) Baseline TEE 150-degree view with colour Doppler demonstrating torrential tricuspid regurgitation (TR). C) 3D TEE view demonstrating posterior leaflet flail. D) TEE 150-degree view of leaflet grasping with the MitraClip G4 XTW. E) Post-procedural TEE 150-degree view demonstrating moderate TR. F) 3D TEE view demonstrating tissue bridge and elimination of posterior flail. A: anterior leaflet; P: posterior leaflet; RA: right atrium; RV: right ventricle; S: septal leaflet. Blue arrow indicates flail posterior leaflet, orange star indicates TriClip ...