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Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair pp 147–162Cite as

Hemodynamic Perspectives of Edge-to-Edge Mitral Valve Repair

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Abstract

Hemodynamic effects of mitral regurgitation (MR) are dependent on multiple factors including the chronicity of the regurgitation, orifice size, etiology, and loading conditions. Although the MitraClip procedure is very safe, significant hemodynamic changes can occur intraprocedurally, early and late postprocedure. Assessment and management of these hemodynamic changes can be complex, although most patients remain clinically stable throughout the procedure. This chapter reviews the hemodynamic effects of MR in the acute and chronic setting, the intra- and periprocedural effects of the MitraClip, as well as the role of various drugs used in anesthesia.

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Authors and Affiliations

  1. Department of Cardiology, Rigshospitalet University Hospital, Blegdamsvej 9, Copenhagen, 2100, Denmark

    Poay Huan Loh MB, BCh, BAO, MRCP(UK)

  2. Department of Cardiology, Odense University Hospital, Sdr. Boulevard 29, Odense, 5000, Denmark

    Karsten Tange Veien M.D.

  3. Department of Cardiology, University Hospital Zurich, Raemistrasse 100, Zurich, CH-8091, Switzerland

    Oliver Gaemperli M.D. & Roberto Corti M.D.

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  1. Poay Huan Loh MB, BCh, BAO, MRCP(UK)
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  2. Karsten Tange Veien M.D.
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  3. Oliver Gaemperli M.D.
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  4. Roberto Corti M.D.
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Correspondence to Poay Huan Loh MB, BCh, BAO, MRCP(UK) .

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Editors and Affiliations

  1. Cardiology Division, Evanston Hospital, Illinois, USA

    Ted Feldman M.D., FESC, FACC, FSCAI

  2. Department of Cardiology, Rigshospitalet University Hospital, Copenhagen, Denmark

    Olaf Franzen M.D

  3. Royal Brompton Hospital Royal Brompton and Harefield NHS Foundation Trust, London, UK

    Olaf Franzen M.D

  4. Department of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento, CA, USA

    Reginald Low M.D., FACC , Jason Rogers M.D., FACC, FSCAI  & Khung Keong Yeo M.B.B.S., FACC, FSCAI ,  & 

  5. Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore

    Khung Keong Yeo M.B.B.S., FACC, FSCAI

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© 2013 Springer-Verlag London

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Loh, P.H., Veien, K.T., Gaemperli, O., Corti, R. (2013). Hemodynamic Perspectives of Edge-to-Edge Mitral Valve Repair. In: Feldman, T., Franzen, O., Low, R., Rogers, J., Yeo, K.K. (eds) Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair. Springer, London. https://doi.org/10.1007/978-1-4471-4294-2_9

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