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An 81-year-old male with recent hospitalization for heart failure complicated with acute renal failure (RF). Workup demonstrated severe mitral regurgitation (MR) due to a flailed P2. The patient was discharged and referred to our center for further recommendations. The patient had persistent Class III NYHA symptoms and based on his age and comorbidities, including recent RF, he was offered MitraClipTM (Abbott, Illinois, USA) given his high risk for surgical intervention.

MitraClip™: a step by step guide for surgeons