Impact of Failed Mitral Clipping on Subsequent Mitral Valve Operations

The outcomes of failed mitral clipping were evaluated in 19 pts.  Surgical risk score increased significantly between the time of clipping and subsequent remedial surgery.  Severe valve tissue damage as a result of clip application was evident in most patients.  Valve repair was possible in 83% of pts who had a single clip, whereas only 23% of patients with more than one clip could have valve repair. One year survival was 68%.