Double heart fix: could adding valve repair to ablation beat ablation alone?

This trial tests whether adding a minimally invasive mitral valve repair (transcatheter edge-to-edge repair, or TEER) to standard catheter ablation improves outcomes for people with both atrial functional mitral regurgitation and atrial fibrillation. Participants are randomly assigned to receive either ablation alone or ablation plus TEER during the same hospital stay. The study compares a combined measure of survival, heart-related hospitalizations, atrial fibrillation recurrence, and quality of life to see if the dual approach offers a meaningful advantage.