Complex surgical valve repair after failed percutaneous mitral intervention using the MitraClip device.

Catheter-based techniques of percutaneous valve intervention are recently being performed in an increasing number of patients. We finally report a case of successful, but complex surgical mitral valve repair 32 days after failed percutaneous intervention with severely aggravated mitral pathology caused by the catheter-based procedure. It is outlined that the conditions for surgery can be severely deteriorated, thereby reducing the chance for successful surgical repair after preceding mitral intervention. Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.