title: Percutaneous bicuspidalization of the tricuspid valve using the MitraClip system.
abstract: An 84-year-old man with cardial senile amyloidosis and severe tricuspid regurgitation was referred for right sided heart failure symptoms. The patient was scheduled for a percutaneous treatment due to the prohibitive risk of surgery. Two MitraClips were implanted using a transjugular approach with successful echocardiographic and clinical results. This case shows the rational of the procedural with a bicuspidalization of the valve demonstrated at the three dimensional transesophageal echocardiography.
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.|EMO GVM Centro Cuore Columbus, Milan, Italy.
authors.forename: Azeem
authors.initials: A
authors.lastname: Latib
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. antonio.mangieri@gmail.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: Mangieri
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Eustachio
authors.initials: E
authors.lastname: Agricola
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Denti
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Damiano
authors.initials: D
authors.lastname: Regazzoli
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.|EMO GVM Centro Cuore Columbus, Milan, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Giannini
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Marco B
authors.initials: MB
authors.lastname: Ancona
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Monaco
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
authors.forename: Ottavio
authors.initials: O
authors.lastname: Alfieri
authors.affiliation: San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.|EMO GVM Centro Cuore Columbus, Milan, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Colombo
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*
keywords: Heart failure; MitraClip; Tricuspid regurgitation; Tricuspid valve