Left Ventricular Assist Device Insertion in a Patient With MitraClip: Remove Clip or Leave It? A Case Report.

With the increasing prevalence of mitral transcatheter edge-to-edge repair (mTEER), there is higher likelihood that patients with end-stage heart failure will present for left ventricular assist device (LVAD) with a mTEER device in place. The decision to remove a mTEER device or leave it will likely be guided by intraoperative echocardiography performed and interpreted by the cardiac anesthesiologist. Interpretation of intraoperative echocardiographic findings in these cases can be erroneous if specific attention is not given to important caveats.