{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:44:27Z","timestamp":1784241867984,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 48\u2010year\u2010old who underwent a Mustard operation in 1972 followed by a second cardiac intervention in 1996 for pulmonary venous baffle enlargement and residual baffle leak closure, complicated by recurrent atrial flutter, was admitted to our institution for severe systemic atrio\u2010ventricular valve regurgitation (SAVVR) associated with severely impaired systemic right ventricular (RV) function. After careful preoperative anatomic assessment including three\u2010dimensional transesophageal echocardiography (3DTEE) to define the clipping strategy and computed tomography to optimize the transvenous baffle puncture site, the intervention was performed under general anesthesia, fluoroscopic, and 3DTEE guidance. One XTR MitraClip was successfully implanted, achieving a significant reduction in regurgitation and immediate clinical improvement. The transbaffle puncture was closed using an 8\u2009mm atrial septal defect (ASD) device without residual shunt or obstruction of the venous baffle. Post\u2010operative clinical evaluation showed immediate improvement in the NYHA functional class (from III to II), but the patient presented with recurrent flutter at 1\u2009week after the procedure, which was successfully treated by catheter ablation with another transbaffle approach next to the ASD device. Clinical improvement was maintained at 1\u2010 and 6\u2010month follow\u2010up with significant reduction in SAVVR, reduced systemic RV volumes and improved RV ejection fraction. This case demonstrates the feasibility of percutaneous treatment of systemic SAVV in patients with systemic RV after atrial redirection.<\/jats:p>","DOI":"10.1002\/ccd.29681","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T12:25:58Z","timestamp":1617279958000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Edge to edge repair using a <scp>MitraClip<\/scp> for severe tricuspid valve regurgitation after a Mustard operation"],"prefix":"10.1002","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4911-7432","authenticated-orcid":false,"given":"Xavier","family":"Iriart","sequence":"first","affiliation":[{"name":"Department of Pediatric and Adult Congenital Cardiology Bordeaux University Hospital (CHU)  Bordeaux France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9  Bordeaux France"},{"name":"INSERM, Centre de 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France"},{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute Fondation Bordeaux Universit\u00e9  Bordeaux France"},{"name":"INSERM, Centre de Recherche Cardio\u2010Thoracique de Bordeaux  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"6","key":"e_1_2_8_2_1","first-page":"966","article-title":"Surgical correction of transposition of the great vessels","volume":"45","author":"Senning A","year":"1959","journal-title":"Surgery"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"469","article-title":"Successful two\u2010stage correction of transposition of the great vessels","volume":"55","author":"Mustard 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