Abstract

Mitral valve replacement may be indicated for delayed MitraClip failure. Although it would be best to preserve the chordal apparatus during mitral valve replacement, this has not been reported for delayed MitraClip failure. The reason is probably because there is almost always impressive inflammation around the MitraClip which has likely precluded previous attempts at chordal preservation. We report successful chordal preservation mitral valve replacement for delayed MitraClip failure.