Mitral edge-to-edge repair: surgical and transcatheter approaches - LIVE case

Learn from these 2 cases of primary mitral repair using percutaneous and surgical approaches:

1. LIVE case - A 90-year-old male with history of LAD PCI 23 years ago and paroxysmal atrial fibrillation presents a primary mitral regurgitation (P2 prolapse) on mildly dilated LV and preserved LV function.
   The operators implanted 2 G4 clips: first XTW and second XT to stabilize the result on general anaesthesia, TEE guidance and left atrial pressure monitoring.
2. Recorded case - A 73-year-old male with a barlow MR, has a history of transapical 3 Neochords (2019), 3 clips (2020), 2 clips (7/2022), with still a severe MR and a new severe TR.
   The operators explant surgically the 5 clips, perform a surgical mitral repair (mitral ring + mitral repair) and implant a tricuspid ring.

LIVE case from Clinique Pasteur, Toulouse, France

 
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Key moments

• 07:35 - 13:10 - Imaging analysis
• 16:54 - 51:36 - Step by step TEER
• 55:52 - 59:42 - Procedural analysis
• 01:00:41 - 01:13:08 - Recorded surgical case

Keywords: Primary MR repair, mitraclip G4, surgical explantation of mitraclip, surgical mitral repair