Redo MitraClip Intervention – The Importance of Comprehensive Imaging Evaluation

To understand and highlight the mechanisms of recurrent MR after prior transcatheter mitral valve edge-to-edge repair.To describe the comprehensive imaging evaluation of recurrent MR and guide redo intervention.To demonstrate the importance of advanced 3D TEE techniques in the pre-procedural imaging and intraprocedural guidance.To establish a helpful guide in the imaging assessment of such cases. To understand and highlight the mechanisms of recurrent MR after prior transcatheter mitral valve edge-to-edge repair. To describe the comprehensive imaging evaluation of recurrent MR and guide redo intervention. To demonstrate the importance of advanced 3D TEE techniques in the pre-procedural imaging and intraprocedural guidance. To establish a helpful guide in the imaging assessment of such cases. MR: Mitral regurgitation; TEE: Transesophageal echocardiography; MPR: multiplanar reconstruction; 3D: 3-dimensional; MS: Mitral stenosis; SLD: Single leaflet detachment; MVA: Mitral valve area; TEER: Transcatheter edge-to-edge repair