Mitral TEER and LAA closure - LIVE Case

Watch a LIVE case followed by a recorded case regarding a 91-year-old female with permanent AF, LAD PCI three months earlier, and recurrent GID bleeding who presented with symptomatic severe primary mitral regurgitation due to P2 prolapse and flail. CT imaging showed a LAA with a chicken-wing morphology with anterior orientation. The PMR was treated with two MitraClip G5 (XTW) devices, followed by implantation of a 27 mm Watchman FLX Pro using a VersaCross Connect system, under general anesthesia and TEE guidance.

Recorded case: A 76-year-old male with permanent AF, recurrent episodes of hematuria, and CAD was treated with LAA closure using an AnchoMan device.

LIVE Educational Case from Clinique Pasteur - Toulouse, France

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Key moments

• 19:36–22:17 – Description of devices
• 23:40–24:38 – Transseptal puncture for TEER and LAAC
• 24:51–50:00 – MitraClip G5 implantation
• 55:40–1:00:04 – Watchman FLX Pro implantation
• 1:02:55–1:10:12 – Procedural analysis of the live case
• 1:14:00–1:15:25 – AnchoMan device implantation
• 1:25:01–1:27:56 – Procedural analysis of the recorded case

Keywords: Primary MR, LAAC, Transseptal puncture for TEER and LAAC, Mitraclip G5, Watchman FLX pro, AnchorMan