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European Journal of Echocardiography Advance Access originally published online on August 4, 2009
European Journal of Echocardiography 2009 10(8):982-983; doi:10.1093/ejechocard/jep101
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Three-dimensional transoesophageal echocardiography in a patient undergoing percutaneous mitral valve repair using the edge-to-edge clip technique

M.J. Swaans*, B.J.L. Van den Branden, J.A.S. Van der Heyden, M.C. Post, B.J.W.M. Rensing, F.D. Eefting, H.W.M. Plokker and W. Jaarsma

Department of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands

Received 9 June 2009; accepted after revision 8 July 2009; online publish-ahead-of-print 4 August 2009.

* Corresponding author. Tel: +31-30-609-9111; fax: +31-30-609-2274. E-mail address: m.swaans{at}antoniusziekenhuis.nl


  Abstract

We report a case of percutaneous mitral valve repair, using the Mitraclip device, in which we show that application of real-time three-dimensional transoesophageal echocardiography (3D-TEE) is extremely helpful for the guidance of this procedure. Because of its excellent visualization capacities, 3D-TEE simplifies the transseptal puncture, the positioning of the clip above the mitral valve orifice, the grasping of the mitral valve leaflets, and the evaluation of the final result. Therefore, we conclude that 3D-TEE has the potential to increase the safety and efficacy of this new technique to treat mitral regurgitation in patients who cannot undergo conventional valve surgery.

Keywords: Mitral valve; Catheter; Echocardiography


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