Immediate Single-Leaflet Device Detachment in a Patient with Marfan Syndrome Treated with Bail-Out Edge-to-Edge Mitral Valve Repair

Figures

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  Figure 1. Transesophageal echocardiogram images showing wide P2 flail at 14 mm with a large gap at 8 mm. (a) with adequate posterior leaflet measured at 22 mm for MitraClip XTR device (b)

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  Figure 2. Transthoracic echocardiogram image at grasping view showing an adequate grasp of 9 mm with the first MitraClip XTR device. (a) Despite the adequate grasp immediate SLDA from the posterior leaflet occurred after device release (b)

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  Figure 3. Transthoracic echocardiogram image at grasping view showing placement of second MitraClip XTR lateral to first partially detached clip. (a) And the third Mitraclip XTR medial to the first partially detached clip. (b) 3D transthoracic echocardiogram image without. (c) And with (d) color Doppler and RAO Caudal fluoroscopic view (e) showing the final results with stable MitraClip devices. Continuous wave Doppler showing a mean gradient of 4 mmHg at the end of the procedure (f). RAO: Right anterior oblique

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  Figure 4. Transthoracic echocardiogram at 10-month follow up showing mild residual mitral regurgitation (a), with stable MitraClip XTR devices (b)