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Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD 

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1 Late Calcific Mitral Stenosis After MitraClip Procedure in a Dialysis-Dependent Patient 
Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD  The Annals of Thoracic Surgery  Volume 95, Issue 5, Pages e113-e114 (May 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Transesophageal echocardiography (TEE) at time of operation 28 months after MitraClip device implantation, demonstrating severe calcific mitral stenosis. The Annals of Thoracic Surgery  , e113-e114DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Intraoperative photograph of severely stenotic and calcified mitral valve 28 months after placement of 2 MitraClip devices for symptomatic MR. (B) Side view of MitraClip after extraction, with adherent calcified leaflets. Suture marks posterior attachment. Both devices had similar calcification to the leaflets and were difficult to extract. The Annals of Thoracic Surgery  , e113-e114DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions


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