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1. Echocardiographic evaluation and guidance for MitraClip procedure

2. Mobile thrombus on the delivery catheter tip seen within the right atrium and in the left atrium

3. Transesophageal echo X-plane view of the mitral valve post MitraClip placement showing a single leaflet device attachment of MitraClip to the anterior mitral leaflet

5. Transesophageal mid esophageal 4 chamber views at 0 degrees

6. The mitral valve after 2 MitraClips deployed between A1 and P1 and A3 and P3 scallops resulting in a triple orifice mitral valve inflow and significant reduction of mitral regurgitation

7. Degenerative mitral valve—Barlow’s disease

8. Functional mitral regurgitation

9. Degenerative mitral valve—fibroelastic deficiency

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