Here, we describe a successful catheter-based closure of a recurrent post-infarction VSR using a new custom-made device in a 50-year-old man who had previously undergone emergency surgical repair for acute PIVSR with bovine pericardial patch, coronary artery bypass grafting and mitral valve replacement with mechanical prosthesis.

Intraprocedural rotational intracardiac echocardiography by Ultra ICE allowed qualitative information consistent with a prominent mobile Crista Terminalis. The correct diagnosis of this right atrial pitfall zeroed the risk to mistake it for tumors or thrombi, avoiding needlessly costly additional investigations.

Here, we describe a successful catheter-based closure of a recurrent post-infarction VSR using a new custom-made device in a 50-year-old man who had previously undergone emergency surgical repair for acute PIVSR with bovine pericardial patch, coronary artery bypass grafting and mitral valve replacement with mechanical prosthesis.