Percutaneous repair by MitraClip is a transcatheter technology based on the surgical Alfieri edge-to-edge repair, which involves suturing together the middle segments of the anterior and posterior mitral valve leaflets, thereby creating a "double orifice" mitral regurgitant
area.5 The MitraClip system utilizes a cobalt chromium clip covered with a polypropylene fabric that grasps the leaflet and reduces mitral regurgitation (MR) by increasing the coaptation between the regurgitant
Mitral and aortic regurgitation occurred in 10 children (17.5%), while six children (10.5%) had all the four valves affected in a regurgitant
Intensified pulmonic sounds with regurgitant
systolic murmur was remarkable at the left sternal border.
The system features contoured, broad paddles to maximize coaptation of the mitral leaflets and a central spacer that fills the regurgitant
Transparent, yellow regurgitant
was noted, and the bird appeared markedly weak.
flow peak velocity was recorded from apical four chamber view using colour doppler  and scored as 0-none, 1-mild, 2-moderate and 3-severe TR.
* Decrease in effective regurgitant
orifice from 0.70 to 0.40 m[m.sup.2].
With the trend of simplification of mitral valve repair, a regurgitant
posterior commissure is often either simply sutured or neglected.
Echocardiography revealed significant regurgitant
lesions of the mitral, tricuspid and aortic valves.
Mitral stenosis was graded as severe when mitral valve area was 1.0-1.5 cmA2 and very severe when mitral valve area was 7mm Hg from baseline after PMBV was taken as improvement, estimated by continuous wave Doppler echocardiography using the modified Bernoulli equation [4x (peak tricuspid regurgitant
jet velocity)2] and 10 mmHg was added for the estimated right atrial pressure.
The World Health Organization Expert Committee specifed four criteria of mitral and aortic regurgitant
jets to distinguish between normal and pathological regurgitation on echocardiography and between normal and pathological mitral and aortic regurgitation.
Increased prevalence of regurgitant
valvular heart disease in acromegaly.