Percutaneous Mitral Valve Repair After Previous Mitral Valve Reconstruction
This case describes the MitraClip procedure for recurrent mitral regurgitation in a patient with a history of Libman-Sacks endocarditis and prior mitral annuloplasty. The mechanism of the recurrent mitral regurgitation was ring dehiscence. Surgery was felt to be very high risk due to multiple comorbidities.
KeywordsMitral regurgitation MitraClip Libman-Sacks endocarditis Mitral annuloplasty Ring dehiscence
(a) Intraprocedural transesophageal four-chamber color Doppler LVOT view showing the valve and associated MR (AVI 2724 kb)
(b) Intraprocedural transesophageal four-chamber color Doppler intercommissural view showing the valve and associated MR (AVI 2525 kb)