Butterfly in the Heart: Infective Endocarditis after MitraClip Procedure

摘要

class="kwd-title">Keywords: Mitraclip, Infective endocarditis, Transesophageal echocardiogram, Butterfly class="head no_bottom_margin" id="sec1title">IntroductionThe MitraClip procedure (Abbott Vascular, Santa Clara, CA) was introduced in 2003. As of July 2017, >50,000 patients have been treated worldwide. Six cases of infective endocarditis (IE) after repair with the MitraClip have been reported. Three of the six were caused by Staphylococcus aureus, and two of these patients died. Most of the patients were treated surgically., Echocardiography plays a vital role in the diagnosis of IE. Transesophageal echocardiography (TEE) has higher sensitivity and specificity in diagnosing IE compared with transthoracic echocardiography (TTE)., We describe a patient who developed IE after MitraClip implantation, showing the importance of the role of echocardiography, especially TEE, after negative results on TTE.