Butterfly in the Heart: Infective Endocarditis after MitraClip Procedure Aslannif Roslan, MRCP, Suraya Hani Kamsani, MRCP, Ahmad Tantawi Jauhari Aktifanus,

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Presentation transcript:

Butterfly in the Heart: Infective Endocarditis after MitraClip Procedure Aslannif Roslan, MRCP, Suraya Hani Kamsani, MRCP, Ahmad Tantawi Jauhari Aktifanus, MD, Malini Krishnan, MD, Najmi Hakim, CTS, Wan Nabeelah Megat Samsudin, MD CASE DOI: 10.1016/j.case.2017.10.006 Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 1 Apical four-chamber view showing severe functional MR. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 2 TEE in the midesophageal two-chamber view also showed severe MR. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 3 Intraprocedural three-dimensional left ventricular view of the mitral valve showing one clip placed centrally at A2-P2. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 4 TEE in the midesophageal long-axis view showed significant reduction of MR after MitraClip implantation. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 5 Transthoracic short-axis view at the mitral valve level. The yellow arrow shows a possible mass over the A2-P2 segment. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 6 Modified apical four-chamber view. The yellow arrow shows a possible mass at the mitral valve. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 7 Midesophageal 90° transesophageal echocardiographic view revealed a mobile butterfly-like echogenic mass. CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

Figure 8 En face left atrial view revealed a mass that appeared to originate from the implanted MitraClip (double asterisk). CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions

CASE DOI: (10.1016/j.case.2017.10.006) Copyright © 2017 American Society of Echocardiography Terms and Conditions