An 82-year-old patient was referred for a MitraClip (Abbott, Chicago, IL) procedure in the context of recurrent mitral regurgitation (MR). Three years before, the patient had undergone surgical mitral valve repair (SMVR) (neochordae on the anterior leaflet A2, 24-mm Physio-Ring, Edwards Lifesciences, Irvine, CA) for degenerative MR (A2 prolapse with a 40-mm annulus dilatation), tricuspid repair, and replacement of the ascending aorta with a prosthetic tube. The final result after SMVR showed a mean gradient of 6 mm Hg and a trivial leak. Six years earlier, he underwent a first sternotomy to replace a severely stenotic aortic valve (bioprosthesis).
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Published online: September 17, 2018
Accepted: September 7, 2018
Received: May 10, 2018
See page 1688.e25 for disclosure information.
© 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.