MitraClip (TEER)Transcatheter Edge-to-Edge Mitral Valve Repair · Real-Time 3D TEE Guided
Catheter-based mitral repair clipping leaky valve leaflets together under real-time 3D echocardiography. Halts congestive heart failure progression without open-heart surgery.
Access Route
Transfemoral Venous (Right groin vein to transseptal puncture)
Imaging Guidance
Real-Time 3D Transesophageal Echocardiography (TEE) + Live Fluoroscopy
Recovery Profile
48-Hour Discharge (Zero sternotomy, minimal discomfort)
Clinical Objective
Immediate reduction of mitral leak from Grade 4+ to Grade 1+ or less
Halting the Backflow: The Mechanical Crisis of Mitral Regurgitation
The mitral valve controls the one-way gateway between the lungs' oxygenated reservoir (left atrium) and the body's primary pump (left ventricle). When the valve leaflets fail to seal completely, a significant portion of every heartbeat regurgitates backward into the lungs instead of surging forward into the systemic circulation.
This backward hydraulic surge causes pulmonary congestion, severe shortness of breath, fluid buildup in the abdomen and limbs, and recurrent hospital admissions. Over time, the volume overload stretches the left ventricle, setting off a vicious cycle of worsening pump failure and deadly atrial fibrillation.
Historically, fixing a leaky mitral valve required open-heart surgery to replace or reconstruct the valve. For frail individuals or those with weakened heart muscle, surgical mortality was daunting. MitraClip, also known as Transcatheter Edge-to-Edge Repair (TEER), revolutionizes this space by repairing the valve while the heart continues to beat steadily, without a single cut on the chest.
The Transseptal Artistry: 3D Precision Under Real-Time TEE Guidance
MitraClip is among the most technically sophisticated catheter procedures in modern medicine, modeled on the surgical Alfieri stitch. Dr. Manish Aggarwal accesses the femoral vein in the groin, advances a steerable catheter into the right side of the heart, and performs a micro-puncture across the interatrial septum to access the left atrium.
Under continuous live guidance from high-definition 3D Transesophageal Echocardiography (TEE), Dr. Aggarwal maneuvers the clip directly over the leaking regurgitant jet. The clip arms grasp the anterior and posterior leaflets, drawing them together to create a double-orifice valve that stops the backflow while preserving forward cardiac output.
- Instant Hemodynamic Feedback: Color Doppler echocardiography visualizes the leak disappearing before the clip is permanently locked into position.
- Zero Cardiopulmonary Bypass: The patient's heart is never stopped, avoiding the whole-body inflammatory response and neurological risks of heart-lung bypass machines.
- Significant Reduction in Hospitalizations: Landmark global clinical trials (including COAPT) demonstrate that TEER reduces heart failure hospitalizations by over 45% and improves survival.
Restoring Breath and Dignity in Advanced Heart Failure
Across Delhi NCR and Western Uttar Pradesh, countless seniors are told their worsening breathlessness is simply an untreatable consequence of aging or end-stage heart failure. In reality, an uncorrected mechanical leak is often the primary culprit draining their vitality.
At Yashoda Medicity, Dr. Aggarwal's structural heart team provides systematic evaluations for TEER eligibility. Most patients experience an immediate lightening in their chest within 24 hours of the clip placement, sleeping flat and walking without air hunger for the first time in years.
"MitraClip does not just repair a leaflet; it breaks the progressive mechanical cycle of congestive heart failure without subjecting a fragile patient to open-chest trauma."
Who Is an Ideal Candidate for MitraClip (TEER)?
Patients meeting these diagnostic and clinical profiles receive targeted evaluations under Dr. Manish Aggarwal at Yashoda Medicity:
- Patients diagnosed with moderate-to-severe (3+) or severe (4+) Mitral Regurgitation (MR), either functional (heart failure) or degenerative (prolapse/flail leaflet).
- Individuals experiencing persistent breathlessness while lying flat (orthopnea), chronic fatigue, leg swelling, or frequent hospitalizations for pulmonary edema.
- Patients deemed high surgical risk or inoperable for conventional mitral valve surgery due to reduced ejection fraction (EF < 35%), advanced age, or prior cardiac operations.
- Patients on maximized heart failure medications whose symptoms continue to progress despite optimal pharmacological therapy.
Frequently Asked Questions
How does MitraClip differ from open mitral valve replacement?
Open mitral surgery requires opening the chest wall (sternotomy), stopping the heart, and placing the patient on a heart-lung bypass machine. MitraClip is performed through a tiny venous puncture in the groin while the heart beats normally. There are no surgical incisions, recovery is rapid, and patients are typically home within two days.
Can more than one MitraClip be implanted if the leak is wide?
Yes. Depending on the breadth of the regurgitant orifice and the leaflet anatomy, Dr. Aggarwal may deploy one, two, or occasionally three clips during the same session to ensure maximum coaptation and reduce the leak to a minimal trace.
How quickly will I feel relief from shortness of breath?
Because the backflow of blood into the lungs is physically halted during the procedure, many patients notice an immediate improvement in breathing ease as soon as they wake up. Within a few days, pulmonary pressures normalize, fluid retention clears, and physical stamina rebounds.
Understand the Underlying Condition & Treatment Costs
Comprehensive patient education connecting pathology, catheter-based alternatives to bypass surgery, and transparent statutory pricing.
Severe Mitral Regurgitation & TEER
Grade 3+ / 4+ mitral valve leakage causing pulmonary congestion and left atrial volume overload without opening the chest.
Structural Heart & Valve Repair Cost Guide
Percutaneous TEER catheter packages, ICU telemetry monitoring, and cashless corporate insurance pre-authorization.
Regional Access & Transit
Feeder Corridors for MitraClip (TEER) at Yashoda Medicity
Patients and families travel from across Delhi NCR and Western UP for specialized procedures under Dr. Manish Aggarwal. Select your neighborhood for transit corridors, driving directions, and local emergency guidance:
Indirapuram
Via Kala Patthar Rd / Flagship Hub
Direct 5-minute township arterial access to Yashoda Medicity.
Vaishali
Via CISF Road & Mahamaya Stadium
Signal-free connectivity for Sectors 1–9 and Metro line.
Vasundhara
Via Atal Path / Mewar Institute
Rapid transit across all 19 sectors via Atal Path.
Noida Sector 62
Via Model Town Underpass Corridor
Direct underpass route from IT Hub & residential towers.
Greater Noida West
Via Gaur City & Kisan Chowk
Expressway link to Yashoda Medicity for 300k+ residents.
Mayur Vihar
Via Delhi-Meerut Expressway
Direct 14-lane signal-free drive from East Delhi.
Kaushambi
Via Anand Vihar ISBT Corridor
Fast arterial route for senior and executive patients.
Crossings Republik
Via NH-24 Expressway Link
Seamless expressway transit for township families.
Director's Cardiac Suite · Yashoda Medicity ↗
Discuss Your Case for MitraClip (TEER)
Same-week outpatient consultations and urgent emergency reviews at Yashoda Medicity, Indirapuram. Bring your angiogram CD or echocardiography reports for a direct, uncompromised assessment.
Registration: 26547 Delhi Medical Council, 2005 · Dedicated 24/7 Cath Lab & CCU