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Updated: Jun 11, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Acute severe mitral regurgitation as an early complication of pacemaker implantation
Rita Miranda1, Sofia Almeida, Luís Brandão
1Department of Cardiology, Hospital Garcia de Orta, Avenida Torrado da Silva, 2801-951 Almada, Portugal. ritasmiranda@gmail.com
Abstract:
A 70-year-old man developed drug refractory acute pulmonary oedema secondary to acute severe mitral regurgitation (MR) immediately after implantation of a dual-chamber pacemaker for complete heart block. Clinical improvement occurred after allowing the patient to resume his native rhythm. A new lead was positioned within the right ventricular outflow tract (RVOT). The echocardiogram during pacing at RVOT showed minimal MR.
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