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An 83-year-old man was referred to our clinic due to dyspnoea (NYHA Class III) and grade IV mitral regurgitation (MR) because of chordal rupture to P3 with flail leaflet (figure 1A; see online supplementary video 1). Due to high surgical risk, the heart team meeting recommended percutaneous mitral valve repair by using the MitraClip system.
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