A 66-year-old man with a history of ischaemic cardiomyopathy and heart failure was referred to our institute for worsening shortness of breath (New York Heart Association III) and orthopnoea. Transoesophageal echocardiography (TOE) showed severe functional mitral regurgitation (MR; 3D EROA 80 mm²) with a centromedial origin of the regurgitant jet, a cleft posterior leaflet between scallop P2–P3 and a spotty fibrocalcific lesion on the distal body of the anterior leaflet (scallop A2) (Panels A–D, Supplementary data online, Video S1). After Heart Team discussion a MitraClip (Abbott Vascular, Santa Clara, CA, USA) procedure was planned. A first clip (XTR) was placed in central position...

中文翻译：

---

用MitraClip进行经皮修复的具有挑战性的二尖瓣解剖结构：后裂小叶。

患有缺血性心肌病和心力衰竭史的66岁男性因呼吸急促恶化（纽约心脏协会III）和矫正器而被转诊至我们的研究所。经食道超声心动图检查（TOE）显示严重的功能性二尖瓣反流（MR; 3D EROA 80 mm ²），反流喷射起源于中心，扇贝P2-P3之间的后裂小叶和前小叶远端体上的斑点性钙化性病变（扇贝A2）（面板A–D，在线补充数据，视频S1）。经过心脏小组的讨论，计划了MitraClip（美国加利福尼亚州圣塔克拉拉市的Abbott Vascular）程序。第一个夹子（XTR）放置在中央位置...