fig4
![Percutaneous “edge-to-edge” leaflet repair in patient with primary mitral valve regurgitation](https://image.oaes.cc/8864340c-49e2-43e4-96d1-1d801e053e73/3709.fig.4.jpg)
Figure 4. Transseptal puncture under fluoroscopic (A) and TEE (B) guidance. A puncture 4 to 4.5 cm above the MV plane in a posterosuperior position allows good maneuverability of the delivery system. After the transseptal puncture, a guidewire is introduced in the left atrium and then in the left superior pulmonary vein (C)