Shih-Hsien Sung
Latest contributions
A simple maneuver to track the wire during a transseptal mitral valve-in-valve procedure
05 Nov 2025
Advancing a transcatheter heart valve through the septostomy can be tricky, with the wire sometimes prolapsing into the left atrium.
This step-by-step tutorial demonstrates a simple yet effective maneuver that allows smooth, controlled navigation from the right atrium to the mitral position, ensuring precise valve deployment.

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Transcatheter edge-to-edge repair for challenging situations
19 Feb 2023 – From PCR Tokyo Valves 2023
Explore various innovative repairs repairs: MitraClip for degenerative regurgitation, TEER bridge therapy, successful combined MitraClip and TriClip procedure, and simultaneous mitral repair with LAA closure.
PCR Tokyo Valves 2023: Opening Ceremony
18 Feb 2023 – From PCR Tokyo Valves 2023
Follow the presentation broadcasted at the opening of the 2023 edition of PCR Tokyo Valves: 3 days dedicated to the 3 valves and focused on interaction, exchange and practice. Then, listen to the Course directors' delight at finally having a face-to-face Course again, especially since this...
Transcatheter repair for complex degenerative mitral regurgitation - LIVE case
18 Feb 2023 – From PCR Tokyo Valves 2023
An 83-year-old female with chronic kidney disease, RBBB, has severe mitral regurgitation due to P2 prolapse and preserved LV function (69 %).
The operators decide to implant 1 XTW clip, guided by TEE and left atrial pressure.
LIVE Case from Kokura Memorial Hospital Kitakyushu, Japan
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My worst nightmare - Mitral valve intervention
18 Feb 2023 – From PCR Tokyo Valves 2023
Through the three challenging cases presented in this session, each presenting an access, leaflet and clip nightmare, learn about optimal bailout and prevention methods to deal with these rare complications that can occur during transcatheter mitral valve intervention.
Complication and bailout of mitral valve intervention
18 Feb 2023 – From PCR Tokyo Valves 2023
Experience the high-stakes world of bailouts of mitral valve intervention in this session: witness the intricate management of unexpected final arm angle during MitraClip procedure, delve into the challenges posed by an obstructive valve thrombosis of a bioprosthetic mitral valve, and uncover the complexities of takotsubo...
Expanding the spectrum of TEER suitability
18 Feb 2023 – From PCR Tokyo Valves 2023
Join this session to delve into diverse Transcatheter Edge-to-Edge Repair (TEER) scenarios, covering optimal patient groups for MitraClip therapy, insights from the EXPAND G4 study and the meticulous choice of four clip sizes for varying valve anatomies.
Imaging for tricuspid valve interventions
17 Feb 2023 – From PCR Tokyo Valves 2023
After reviewing the anatomy of the tricuspid valve, learn, in this PCR Tokyo Valves 2023 session on this specific valve, how to evaluate it with trans-oesophageal echocardiography, how to classify TR, what the pitfalls are, and tips and tricks for intra-procedural imaging.
Contemporary appraisal of functional mitral regurgitation in the transcatheter era
19 Aug 2022
Watch the replay of the last of #PCRtokyo 2022’s six webinars about ‘Contemporary appraisal of functional mitral regurgitation in the transcatheter era'
Case-based challenging edge-to-edge mitral repair
26 Sep 2021 – From PCR Tokyo Valves 2021
Watch this session on mitral valve repair to learn how to successfully perform this procedure, especially in patients with challenging anatomies, and how to face any possible complications.