Novel Method to Avoid Image Interference by Vertebral Body During MitraClip Transseptal Puncture

A 58-year-old man with severe functional mitral regurgitation due to dilated cardiomyopathy underwent a MitraClip procedure (Abbott, Abbott Park, Illinois). Intraoperative transesophageal echocardiography (TEE) had poor image quality due to an artifact, especially in the left atrial posterior view