Mitral Valve Prolapse Case Study

otentially be a candidate for a mitral valve clip. Mitral clip procedure is performed for patients with mitral valve prolapse. The mitral valve has two sail like structures called leaflets. When the heart beats these leaflets should close. Mitral valve prolapse is a condition when one or both of the leaflets don’t close properly when the heart contracts. Mitral valve prolapse restricts blood flow from entering the left ventricle from the left atrium. When this happens, oxygenated blood from the lungs is reduced causing patients to become tired and short of breath (AHA,

2017). As the pressure from the volume of blood retaining in the left atrium builds up, it can cause the left atrium to enlarge and fluid to build up in the lungs. This innovative

The benefit of this procedure is the ability to have their valve repaired after they have been told they are not a surgical candidate. The obstacle to using this procedure is that not all patients are candidates for this transcatheter based procedures. Patients who have any venous thrombus diagnosed on the pre-screening TEE procedure or who can’t tolerate procedural anticoagulation or post procedure anti-platelet regimen can’t have the procedure. Mitral clip procedure can be done as a transcatheter approach in the cath/electrophysiology lab under fluoroscopy and with TEE procedure using 3D and 4D echo imaging. TEE 3D and 4D echo is important for guiding the transeptal puncture of the delivery catheter, steering the catheter from the left atrium towards the mitral apparatus and positioning the mitral clip. TEE is also important to make sure the device is well seated and to measure the residual mitral regurgitation (Lerakis, Martin, 2009). In the future newer angiography imaging systems could

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Advanced Technological Procedures In The Cath Lab enable advanced 3-D imaging with rotational angiography, which could create a CT like

PA pressures are a major predictor of heart failure symptoms. It is not always easy for clinicians to manage patients by watching their weight or clinical signs, and they are not always able to predict decompensation in these patients. Cardiomems PA sensor or cardiomems heart failure management system is implanted into the pulmonary artery using fluoroscopy in the cardiac cath lab. The Cardiomems is a right heart catherization and over the wire based procedure. Cardiomems innovative Endosure is another cardiomems sensor device that can be implanted along with stent grafts during endovascular repair (US Fed News, 2006).

The Cardiomems Endosure sensor device is about the size of a paper clip. Patients can be treated with stents in these abdominal aneurysms, but they can fail. These patients require lifetime monitoring. The Endosure device measures the blood pressure in the sac of the aneurysm. Ruptures from this weakening of the lower aorta rank as the 13th leading cause of death in the United States (US Fed News, 2006). During checkups physicians wave an antenna in front of the patient’s chest, and a low power radio frequency will activate the