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Unsuccessful MitraClip procedure due to emerging right atrial thrombus and difficult transseptal puncture

Saved by multidimensional transesophageal echocardiography

Nach schwieriger transseptaler Punktion und Vorhofthrombusbildung abgebrochene MitraClip-Intervention

Sicherung durch multidimensionale Echokardiographie

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Compliance with ethical guidelines

Conflict of interest. G. Açar, S. Fidan, A. Avcı, E. Alizade, and A.M. Esen state that there are no conflicts of interest.

The accompanying manuscript does not include studies on humans or animals.

Author information

Correspondence to S. Fidan.

Electronic supplementary material

Video 1: Two dimensional transesophageal echocardiography showing the difficult transseptal puncture procedure. (AVI 58,9MB)

Video 3: Three-dimensional transoesophageal echocardiography right atrial view showing the right atrial thrombus. (AVI 102MB)

Video 4: Two dimensional transesophageal echocardiography showing the cord like structures and the emerging thrombus on cord like structures. (AVI 116MB)

Video 1: Two dimensional transesophageal echocardiography showing the difficult transseptal puncture procedure. (AVI 58,9MB)

Video 2: Three-dimensional transoesophageal echocardiography left atrial view showing stretched interatrial septum. (AVI 21,9MB)

Video 3: Three-dimensional transoesophageal echocardiography right atrial view showing the right atrial thrombus. (AVI 102MB)

Video 4: Two dimensional transesophageal echocardiography showing the cord like structures and the emerging thrombus on cord like structures. (AVI 116MB)

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Açar, G., Fidan, S., Avcı, A. et al. Unsuccessful MitraClip procedure due to emerging right atrial thrombus and difficult transseptal puncture. Herz 39, 1016–1018 (2014). https://doi.org/10.1007/s00059-013-3937-5

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Keywords

  • Mitral Valve Operation
  • Functional Mitral Regurgitation
  • Transseptal Puncture
  • Logistic EuroScore
  • Cardiac Operative Risk Evaluation