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Case Reports
. 2022 Nov 9;7(1):35-38.
doi: 10.1016/j.case.2022.09.008. eCollection 2023 Jan.

Transcatheter Edge-to-Edge Repair for Left Atrioventricular Valve Cleft After Previously Repaired Complete Atrioventricular Canal Defect in Down Syndrome

Rohit Mital  1 , Satvik Ramakrishna  2 , Gregory L Judson  3 , Clifton Watt  4 , Kirsten Tolstrup  4 , Vaikom S Mahadevan  4
Affiliations
Case Reports

Transcatheter Edge-to-Edge Repair for Left Atrioventricular Valve Cleft After Previously Repaired Complete Atrioventricular Canal Defect in Down Syndrome

Rohit Mital et al. CASE (Phila). .
No abstract available

Keywords: Cleft leaflet; Down syndrome; Mitral regurgitation; Percutaneous mitral valve repair; Transcatheter edge-to-edge repair.

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Figures

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Graphical abstract
Figure 1
Figure 1
Baseline intraprocedural TEE images. Midesophageal biplane imaging of a long-axis and bicommissural view without and with color Doppler (A, B), three-dimensional surgeon's view without and with color Doppler demonstrating severe regurgitation (C, D), systolic flow reversal in the right upper pulmonary vein (E), and elevated transvalvular inflow gradients (F). Anterior leaflet cleft (↓) and A2/A3 prolapse (∇) are shown in 2D (A) and three-dimensional (C) imaging.
Figure 2
Figure 2
Post-TEER intraprocedural TEE images. Midesophageal biplane imaging of a long-axis and bicommissural view without and with color Doppler demonstrating bileaflet capture with reduction to mild-moderate regurgitation (A, B), three-dimensional surgeon's view demonstrating angulated device positioning (dashed arrows) with tissue bridge and color Doppler (C, D), right upper pulmonary vein subsequently with systolic dominant flow (E), and stable transvalvular inflow gradients following device release (F).
See this image and copyright information in PMC

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