Abstract An asymptomatic 63‐year‐old male with chronic type B aortic dissection underwent repair of an expanding 6.1?cm extent I thoracoabdominal aortic aneurysm. His postoperative course was complicated by respiratory failure from severe acute mitral regurgitation likely due to papillary muscle rupture, which was corrected with transcatheter MitraClip edge‐to‐edge repair.
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