The rare case of a MitraClip device migrating into the left ventricular apex

Surgical Removal of a Detached Mitral Valve Repair Clip to Resolve Cardiogenic Shock

“…Some cases of clip embolization have been resolved by an interventional approach with transcatheter retrieval, 2 whereas fewer cases describe urgent surgical clip removal with concomitant mitral valve repair or replacement. 3 In these cases, open heart surgery has been performed primarily to intervene against the symptomatic severe MR. 4 , 5 To our knowledge, emergent surgery to resolve ventricular arrhythmias and hemodynamic instability caused by complete clip detachment and embolization has not been reported previously.…”

Better Safe Than Sorry in the Transcatheter Mitral Era

“…Second, in patients affected by degenerative mitral valve disease, repair after TEER is rare and not impossible after a leaflet tears. Third, from a technical point of view, leaflet detachment or leaflet tear are events that rarely happen, 3 , 4 , 5 , 6 but especially in patients where the chances of a successful surgical bailout procedure are low, leaflet insertion must be evaluated more carefully before clip release.…”