Top 3 Clinical Cases: Prof. Dr. med. U. Schäfer

Toolbox - Simultaneous double transseptal access for direct annuloplasty and edge-to-edge repair for treatment of severe functional mitral regurgitation

The presented case by U. Schäfer is about a 76-year-old male patient presented with dyspnea (NYHA III) caused by severe (4+) functional mitral regurgitation.

The presented case is a 76-year-old male patient presented with dyspnea (NYHA III) caused by severe (4+) functional mitral regurgitation. "This multimodal transcatheter intervention resulted in a perfect interventionally reconstructed mitral valve and the patient was discharged home with a significant clinical improvement. To our knowledge this is the first description of a simultaneous Cardioband-/and MitraClip implantation in a single treatment setting" Prof. Dr. med. U. Schäfer explains.

Would you like to know more about this Case? Come to PCR London Valves and listen to Prof. Dr. med. U. Schäfer present his case on Monday 25 September in the Main Arena.

Session details


Why do you think your submission made it into this year’s Top 3 Best Cases?

I think this case is a perfect example demonstrating that interventional treatment of advanced valvular disease is entering a new phase. In the future, we will have to adopt and combine catheter-based techniques to individual patient needs.

How do you think your Case — which is now officially part of this year’s Programme — will impact on the PCR London Valves community?

I’d like to extend the current thinking of catheter-based treatments in complex structural heat disease. Combinations of different interventional approaches will be necessary in the future - similar as in surgery.

What are the fundamental learnings the community will be able to draw out from your Case presentation?

I hope that more people will be attracted to this “tool-box” approach in patients with very severe mitral regurgitation, since we need sustaining results for our patients. But I have to admit that combinations like this are still complex interventions with numerous technical and economical restrictions.

Tips for a successful PCR Submission by Prof. Dr. med. U. Schäfer:

  1. Just send unique cases you believe worth sending. We should not forget that sharing cases is usually the first step of innovations and device modifications.