Fluoroscopy during edge-to-edge mitral repair with transoesophageal echocardiography guided (asterisk) indicating an abnormal position of the wire ascending from the femoral vein at the left side of the vertebrae (white arrow) and contrast flow jet from multipurpose A catheter-directed downward and to the left side indicating right-sided chamber (yellow arrow). TOE, transoesophageal echocardiography; MPA, multipurpose A.