Live Three-Dimensional Multiplanar Reconstruction Imaging Guidance for Concomitant Mitral and Tricuspid Valve Repairs Using the MitraClip

• TEE is critical in evaluation and guidance of mitral and tricuspid interventions. • 3D MPR allows simultaneous valve views in 2 long-axis, 1 short-axis, and 3D planes. • 3D MPR enables accurate spatial delineation of MR/TR location and clip positioning. • Adequate mitral and tricuspid views are achievable in most patients with 3D MPR.