Second Time's a Charm: Percutaneous Edge-to-Edge Repair With the MitraClip Device as Rescue Therapy After a Failed Surgical Edge-to-Edge Alfieri Stitch.

Surgical mitral valve repair for mitral regurgitation is associated with an increased risk of recurrent mitral regurgitation compared to surgical mitral valve replacement. We describe the case of an 80-year-old man with recurrent severe symptomatic mitral regurgitation after a failed surgical Alfieri technique attempt, who then underwent successful MitraClip (Abbott Vascular, Santa Clara, CA) implantation.