MitraClip Technique Five Years after Alfieri Stitch Mitral Valve Repair

Ivaylo R. Tonchev, Anna Turyan, Ronen Beeri, Mony Shuvy

Research output: Contribution to journalArticlepeer-review


The case is described of a successful MitraClip procedure performed on an 88-year-old patient with severe mitral regurgitation (MR), five years after she had undergone mitral valve repair using the Alfieri surgical procedure. It is suggested that the MitraClip procedure is an option in patients with severe MR persisting after the Alfieri procedure. Video 1: Transesophageal echocardiography before the MitraClip procedure. Severe mitral regurgitation with preserved left ventricular systolic function. The main regurgitant jet originates from the medial commissure. Video 2: Transesophageal echocardiography: clip placement and jet reduction. A single clip placement on the medial portion of the mitral valve, resulting in elimination of the medial jet and reduction of the overall mitral regurgitant jet from grade 4+ to grade 2+.

Original languageAmerican English
Pages (from-to)595-596
Number of pages2
JournalJournal of Heart Valve Disease
Issue number5
StatePublished - 1 Sep 2017


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