about 70 y old patient with DCM. in clinical history condition after CRT-D-implantation, despite of this there were multiple cardial decompensations in the last years. In TTE we could find a severe mitral valve insufficiency because of dilatation of mitral annulus.
In TEE you can see a severe mitral valve insufficiency with regurgitation in pulmonary vein.
We decided to do a clipping of mitral valve.