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Usage of two systems of percutaneous MitraClip implantation
  1. Gary Cheung1,2,
  2. Nikolaj Ihlemann1,
  3. Olaf Franzen1
  1. 1Department of Cardiology, University Heart Center, Copenhagen, Denmark
  2. 2Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
  1. Correspondence to Dr Olaf Franzen, Rigshospitalet University Hospital; Blegdamsvej 9, Copenhagen 2100, Denmark; owfranzen{at}

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Case report

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.

Figure 1

(A) Transoesophageal echocardiogram showed flail posterior leaflet of mitral valve due to chordal rupture to P3. (B) Transoesophageal echocardiogram showed the first clip could not have good leaflets grasp due to lack of secondary support from ruptured chordae. (C) Transoesophageal echocardiogram showed the good leaflets grasp after using two MitraClips (thin arrows). (D) Transoesophageal …

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