Sequential venous PTA and balloon dilatation of the interatr
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Percutaneous edge-to-edge mitral valve repair (PMVR) is widely used for selected, high-risk patients with severe mitral valve regurgitation (MR). This report describes a case of 81-year-old woman presenting with severe and highly symptomatic mitral valve regurgitation (MR) caused by a flail of the posterior mitral valve leaflet (PML).PMVR turned out to be challenging in this patient because of a stenosis andtortuosity of both iliac veins as well as sclerosis of the interatrial septum, precludingthe vascular and left atrial access by standard methods, respectively. Authors managed to achieve atrial access by venous percutaneous transluminal angioplasty (PTA) and balloon dilatation of the interatrial septum....

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