Progressive Mitral Stenosis After MitraClip Implantation in a Patient With Systemic Inflammatory Disease Mike Saji, MD, Gorav Ailawadi, MD, Dale E. Fowler,

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Progressive Mitral Stenosis After MitraClip Implantation in a Patient With Systemic Inflammatory Disease Mike Saji, MD, Gorav Ailawadi, MD, Dale E. Fowler, MD, RDCS, Damien J. LaPar, MD, MS, John M. Dent, MD, Michael Ragosta, MD, D. Scott Lim, MD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e89-e91 (August 2016) DOI: 10.1016/j.athoracsur.2015.12.050 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Three-dimensional transesophageal echocardiography showing a double-orifice mitral valve (asterisks) created by MitraClip. The Annals of Thoracic Surgery 2016 102, e89-e91DOI: (10.1016/j.athoracsur.2015.12.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Transthoracic echocardiography showing a mean transmitral gradient of 13 mm Hg at 28 months after MitraClip implantation. The Annals of Thoracic Surgery 2016 102, e89-e91DOI: (10.1016/j.athoracsur.2015.12.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Four-chamber view on transthoracic echocardiography at 28 months after MitraClip implantation showing dilated right atrium and ventricle compared with before the procedure. The Annals of Thoracic Surgery 2016 102, e89-e91DOI: (10.1016/j.athoracsur.2015.12.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions