Rescue Mitral Clip Therapy in Hypertrophic Obstructive Cardiomyopathy with Severe Mitral Regurgitation and Combined Shock

Figures

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  Figure 1. Hemodynamics in systolic anterior motion mitral regurgitation. Transesophageal echocardiographic images and left atrial pressure measurements at the beginning of the procedure: (A, C) during high blood pressure vs (B, D) low blood pressure. A drop in blood pressure is associated with an increase in left atrial pressures and worsening mitral regurgitation.

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  Figure 2. Transesophageal echocardiographic images obtained during and after the procedure. (A, B) During clip deployment, the device prevents systolic anterior motion of the mitral valve; (C, D) following clip implantation, a reduction in mitral regurgitation is demonstrated.