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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2011 | Volume
: 12
| Issue : 4 | Page : 181 |
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A Clip in the Heart
Sherif M Helmy, Rachel Hajar
Heart Hospital, Hamad Medical Corporation, Doha, Qatar
| Date of Web Publication | 15-Dec-2011 |
Correspondence Address:
Sherif M Helmy
PO Box 10402, Doha
Qatar
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.90909
How to cite this article:
Helmy SM, Hajar R. A Clip in the Heart. Heart Views 2011;12:181 |
These echocardiography images are of a 58-year-old Palestinian lady, post coronary artery bypass grafting (CABG), with refractory heart failure, NYHA III/IV. Echocardiography examination showed severe mitral incompetence and an ejection fraction (EF) <30%. Because of co-morbidities, she was considered to be at high risk for cardiac surgery. She was referred for percutaneous mitral valve clip. A 6-month follow-up echocardiography study showed the clip in position [Figure 1] and [Figure 2] with mild residual mitral incompetence [Figure 2]a. Left ventricular dimensions and function improved, and the patient was asymptomatic. | Figure 1: (a) A parasternal long axis view with a clip (arrow) joining the tip of both leaflets; (b) a parasternal short axis view with the clip (vertical arrow) joining both leaflets and two orifices (side arrows)
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 | Figure 2: (a) Apical four-chamber view in systole with mild residual mitral incompetence appearing as two central jets (arrow); (b) apical four chamber view in diastole with two color flow jets of mitral inflow(arrow)
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Keywords: Echocardiography, percutaneous mitral clip, interventional cardiology
[Figure 1], [Figure 2]
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