Real-Time Monitoring and Step-by-Step Guidance for Transapical Mitral Valve Edge-to-Edge Repair Using Transesophageal Echocardiography

Figure 2

Determination of an appropriate transapical puncture site. (a) The notch of the fingertip (orange arrow) is displayed simultaneously on X-plane views and schematic diagram (b), and oriented toward the center of the valve coaptation.

(a)

(b)