Single Leaflet Device Attachment

We present a 61-year-old man with severe primary mitral valve insufficiency who underwent MitraClip procedure without any immediate complications, although it was a difficult attachment requiring multiple attempts. He was then found to have single leaflet device attachment 5 weeks later with excessive mobility of the mitral clip. No urgent intervention was done as patient remained stable without any new symptoms. This case demonstrated the importance of postprocedural imaging follow-up for patient with MitraClips.