Failure and Complications of MitraClip® Implantation for Severe Functional Mitral Regurgitation: A Combination of Unexpected Findings and Early Experience

  • Nicolas Dumonteil
  • Mathieu Gautier
  • Nicolas Boudou
  • Bertrand Marcheix
  • Didier Carrié
Chapter

Abstract

This case illustrates the importance of a well-placed transseptal puncture and appreciation of the mitral subvalvular apparatus. In this case, the procedure was complicated by rupture of a chord resulting in worsened mitral regurgitation. This may have been prevented by an appreciation of the unusual chordal and papillary structures seen on the initial transthoracic echocardiogram.

Keywords

Mitral regurgitation MitraClip Functional mitral regurgitation Cardiomyopathy Complication Chordae tendineae Papillary muscle 

Supplementary material

Video 35.1

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Video 35.2

(MOV 19152 kb)

Video 35.3

(MOV 13955 kb)

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Nicolas Dumonteil
    • 1
  • Mathieu Gautier
    • 1
  • Nicolas Boudou
    • 1
  • Bertrand Marcheix
    • 1
    • 2
  • Didier Carrié
    • 1
  1. 1.Pôle CardioVasculaire et MétaboliqueRangueil University HospitalToulouseFrance
  2. 2.Department of Cardiovascular SurgeryCHU RangueilToulouseFrance

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