To the best of our knowledge, this case represents the first patient with Mitraclip, Amplatzer, and TricValve devices with a profound clinical improvement and long-term follow-up. In addition, this case illustrates how the treatment of high-risk patients with polyvalvular disease has changed in the last few years.
Keywords: edge-to-edge mitral valve repair; heart failure; iatrogenic atrial septal defect; transcatheter bicaval valve.