EVEREST II Case Study: Large Left Atrium

  • Satya S. Shreenivas
  • Howard C. HerrmannEmail author


This case illustrates some of the challenges associated with performing the MitraClip procedure in a patient with a very large left atrium. These include modifying the usual landmarks used for selecting the ideal location for the transseptal puncture. In this case, the transseptal puncture was at the thick part of the septum, and required sequential balloon dilatations before the steerable guide would cross.


Mitral stenosis MitraClip Balloon Large left atrium 

Supplementary material

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of MedicineUniversity of PennsylvaniaPhiladelphiaUSA

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