Acquired von Willebrand Disease Associated With Severe Functional Mitral Regurgitation Improved by TEER

Figures

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  Figure 1. Angioectasia in the Jejunum Observed With Double-Balloon Enteroscopy Argon plasma coagulation cauterization was performed for the bleeding point (arrow).

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  Figure 2. Transthoracic Echocardiography Before the Transcatheter Edge-to-Edge Repair (A) Severe functional mitral regurgitation in an apical 3-chamber view by exercise stress echocardiography at a peak exercise workload of 40 W with an ergometer. (B) An enlarged left ventricle with a reduced systolic function and moderate to severe functional mitral regurgitation in an apical 3-chamber view.

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  Figure 3. Intraoperative Transesophageal Echocardiography (A) Before the transcatheter edge-to-edge repair. (B) After MitraClip XTW detachment.

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  Figure 4. Von Willebrand Factor Multimer Analysis The decreased large multimers pattern (red curly bracket) recovered. (A) Before and (B) after transcatheter edge-to-edge repair. A = this patient’s sample; L = large; M = medium; N = normal; S = small.