TABLE 2.
Case Planning
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | |
|---|---|---|---|---|---|
| Reason for surgical ineligibility | Frailty | Frailty | Pulmonary fibrosis | Third redo sternotomy | 86 years of age |
| Septal-lateral diameter (mm) | 33.4 | 36.9 | 29.3 | 27.9 | 31.9 |
| Intercommissural diameter (mm) | 41.5 | 47.7 | 42.3 | 43.2 | 45.4 |
| Perimeter (mm) | 126.4 | 141.3 | 122.9 | 116.7 | 128.9 |
| Area (cm2) | 11.5 | 13 | 10.5 | 9.7 | 12.1 |
| Implanted valve size | 35M LP | 37L SP | 33M LP | 33M LP | 37M LP |
| Septal-lateral percentage oversizing | 3.3 | −1.1 | 10.8 | 12.1 | 14.4 |
| Intercommissural percentage oversizing | 16.9 | 10.1 | 10.0 | 8.1 | 9.0 |
| Perimeter percentage oversizing | 13.9 | 10.4 | 17.1 | 13.3 | 16.4 |
| Predicted neo-LVOT (mm2) | 571 | 294 | 306 | 296 | 341 |
| End-systolic aortomitral angle (deg) | 32.2 | NA | NA | 52.1 | 54.2 |
| End-diastolic aortomitral angle (deg) | 33.7 | NA | NA | 53 | 49.3 |
Values were derived using contrast-enhanced gated cardiac computed tomography for the 5 patients undergoing electrosurgical laceration and stabilization of MitraClip.
LVOT = left ventricular outflow tract; NA = not applicable.