3D Transesophageal Echo-Guided MitraClip Treatment of P3 Mitral Valve Prolapse



This case highlights the use of 3D transesophageal echo imaging to guide the placement of a MitraClip for treatment of P3 prolapse. In such cases, the usual 2D views may not adequately allow for assessment of clip perpendicularity. Real-time 3D imaging allows for assessment of perpendicularity and should be used in cases with either very medial (A3/P3) or lateral (A1/P1) prolapse.


Mitral regurgitation MitraClip Three-dimensional Mitral valve prolapse 


  1. 1.
    Swaans MJ, Van den Branden BJ, Van der Heyden JA, et al. Three-dimensional transoesophageal echocardiography in a patient undergoing percutaneous mitral valve repair using the edge-to-edge clip technique. Eur J Echocardiogr. 2009;10(8):982–3.PubMedCrossRefGoogle Scholar
  2. 2.
    Swaans MJ, Van den Branden BJ, Post MC, Van der Heyden JA. The percutaneous mitral valve repair procedure – the role of echocardiographic guidance. Eur Cardiol. 2011;7(3):175–8.Google Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Martin J. Swaans
    • 1
  • Jan A. S. Van der Heyden
    • 1
  1. 1.Department of CardiologySt. Antonius HospitalNieuwegeinThe Netherlands

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