A clinical case of successful simultaneous percutaneous coronary intervention and endovascular mitral valve repair “edge-to-edge” with the Mitraclip G4 device

Mitral regurgitation is one of the prevalent entities among valvular defects in the adult population. In approximately half of the patients, the etiology of this defect is directly related to obstructive coronary artery disease. As a rule, the high perioperative risk in such patients is the main reason for the refusal to perform traditional open interventions. According to the available literature, the first experience of successful simultaneous percutaneous coronary intervention and transcatheter mitral valve repair “edge-to-edge” with the MitraClip G4 device is presented in a 77-year-old patient with severe mitral regurgitation who had previously suffered myocardial infarction and paroxysmal atrial fibrillation. The advantages of such an approach to treatment are demonstrated, and the need for its further study for systemic implementation is actualized.