Hybrid mitral repair and coronary artery bypass with Penditure left atrial appendage closure.

We present the case of an 84-year-old man with acute coronary syndrome, ischaemic mitral regurgitation, and chronic atrial fibrillation. The patient was successfully treated using a two-stage hybrid strategy consisting of initial transcatheter mitral valve edge-to-edge repair followed by coronary artery bypass grafting with Penditure-based left atrial appendage closure.