Percutaneous mitral valve repair with the MitraClip system for severe mitral regurgitation in patients with surgical mitral valve repair failure.

Variable Patient #1 Patient #2 Age (yrs) 74 77 Sex Female Female NYHA functional class (baseline) 3 3 Logistic EuroSCORE (%) 42.9 12.9 STS score (%) 11.4 4.2 Interval between SMVR and PMVR 12 yrs 6.5 yrs Type of surgical ring CarpentierEdwards Sovering Miniband Pre-procedural Rhythm SR SR LVEF (%) 30 30 MR etiology Functional Functional Tethering (involved leaflet) Yes (P) Yes (P) MR jets Central Central MR grade 3 3 Systolic PAP (mm Hg) 50 50 Mean pressure gradient (mm Hg) 1.8 2.5 Mitral valve area (cm) 4.3 3.3 Coaptation depth (mm) 9 8 Coaptation length (mm) 5 6 Procedural details Device success Yes Yes Number of clips needed 1 1 Device implantation time (min) 55 33 Total fluoroscopy time (min) 27 13 Post-procedural MR grade 1 1 Mean pressure gradient (mm Hg) 5 3.1 Mitral valve area (cm) 2.6 1.9 Procedural complications None None Hospital stay (days) 4 5 Follow-up Follow-up (months) 31 12 MR grade 1 1 LVEF improvement Yes Yes NYHA functional class 2 2