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.