From Severe Aortic Stenosis to Mitral TEER

Figures

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  Figure 1. Intraoperative Pre-AV Replacement Transesophageal Echocardiography Continuous-wave Doppler showing aortic velocity and pressure profiles consistent with severe aortic stenosis. AV = aortic valve; LVOT = left ventricular outflow tract; Max = maximum; PG = pressure gradient; Vmax = maximum velocity; Vmean = mean velocity; VR = velocity ratio; VTI = velocity-time integral.

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  Figure 2. Intraoperative Post-Aortic Valve Replacement Transesophageal Echocardiography Severe, eccentric mitral regurgitation seen with systolic anterior motion that extends in the left ventricular outflow tract, causing dynamic obstruction.

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  Figure 3. Beside Transthoracic in the Intensive Care Unit (A) Left ventricular outflow tract (LVOT) profile with pulsed-wave Doppler demonstrating aliasing. (B) Prosthetic aortic valve Doppler profile. (C) LVOT Doppler profile. LV = left ventricular; other abbreviations as in Figure 1.

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  Figure 4. Intraoperative Mitral Transcatheter Edge-to-Edge Repair With MitraClip (A) MitraClip deployment at the A2-P2 position with reduction of mitral regurgitation. (B) Reduction of mitral regurgitation with no significant stenosis.

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  Figure 5. Post-MitraClip Transthoracic Echocardiography Apical 5-chamber views: (A) left ventricular outflow tract (LVOT) gradient at rest, (B) LVOT gradient with Valsalva maneuver, and (C) aortic valve velocity profile with continuous-wave Doppler. Abbreviations as in Figure 1.

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  Figure 6. Bedside Transesophageal Echocardiography in the Intensive Care Unit Coaptation and septum distance of 1.7 cm measured at presystole and left ventricular outflow tract of 2.24 cm.