Redo Mitral Surgery: Mitral Valve Replacement With Explant of Failed MitraClips

This video shows Dr. Vince Gaudiani demonstrating how the MitraClips had failed in an 88-year-old patient prior to removing them and performing a mitral valve replacement via a hemisternotomy.  

The MitraClips were initially successful, but after a year, the patient developed heart failure and severe mitral regurgitation. Dr. Gaudiani performed a hemisternotomy with femoral venous cannulation and direct aortic cannulation, then made a rooftop incision into the left atrium. He demonstrated that while additional chords had failed to cause the delayed failure of the MitraClips, the MitraClips had also not grasped the leaflets properly, leaving poor coaptation. He then removed the MitraClips and demonstrated how to perform a chord sparing mitral valve replacement with a biological valve.

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