SEVERE MITRAL regurgitation (MR) is one of the most common etiologies for the development
of congestive heart failure.
1
Percutaneous edge-to-edge mitral valve repair using the MitraClip system (Abbott,
Menlo Park, CA) has become increasingly popular in patients with multiple comorbidities
who have a high or prohibitive open surgical risk.
1
Transthoracic echocardiography (TTE) frequently is used in preoperative patient selection,
quantification of the mitral regurgitation, and for postprocedural follow-up.
1
,2
Key Words
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References
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Musuku SR, Cherukupalli D, Di Capua C, et al. Point-of-care ultrasound before and after transfemoral transcatheter aortic valve implantation [e-pub ahead of print]. Turkish J Anaesth Reanimation. doi: 10.5152/TJAR.2020.08. Accessed October 29, 2020.
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Publication history
Published online: October 19, 2020
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- One-Lung Ventilation to Accommodate Echocardiographic Guidance of the MitraClipJournal of Cardiothoracic and Vascular AnesthesiaVol. 35Issue 8
- PreviewWE RECENTLY PUBLISHED an article by Musuku et al.1 in which we described the use of a combination of intracardiac echocardiography (ICE) by the cardiologist and transthoracic echocardiography (TTE) by the anesthesiologist for guidance of a MitraClip (Abbott, Abbott Park, IL) procedure in which transesophageal echocardiography (TEE) was not possible because of a newly diagnosed laryngeal mass. As a follow-up to that article, we present a patient in whom a large hiatal hernia prevented adequate TEE guidance, and lung isolation was used to dramatically improve image quality and accommodate a primarily TTE-guided approach for MitraClip.
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