Matteo Biroli
Latest contributions
Severe mitral regurgitation in a patient at high risk for surgery with a suboptimal anatomy for M-TEER: what other options can we find?
04 Feb 2026
A 78-year-old male presents with recurrent hospitalisations for HFpEF and severe degenerative MR. Multimodality imaging reveals fibro-calcific leaflet disease, restricted motion, and a short posterior leaflet, making him a suboptimal candidate for M-TEER and prompting consideration of transcatheter mitral valve replacement. How would you treat?

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Nightmare mitral interventions
16 Nov 2025 – From PCR London Valves 2025
This session presents complex mitral valve intervention cases highlighting procedural challenges and innovative solutions. It includes management of embolised transcatheter mitral valve replacements (TMVR), bailout redo transcatheter edge-to-edge repair (TEER), complications such as acute hypoxia and atrial wall perforations, and the application of TAVI skills in...
Featured Cases - Challenging Mitral TEER (Part 1)
25 Nov 2024 – From PCR London Valves 2024
Dive into a collection of challenging mitral transcatheter edge-to-edge repair (M-TEER) cases in this featured session. Explore strategies for coapting the non-regurgitant A2P2 segment in functional mitral regurgitation, the use of 4D-volume intracardiac echocardiography-only guidance, and the application of the diamond-shape clasping technique using the PASCAL...