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Updated: May 31, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Significant mitral regurgitation regression by slight modification of the right ventricular pacing site
Dimitri Stepowski1, Bénédicte Godin, Fabrice Bauer
1Department of Cardiology, Rouen University Hospital, Rouen, France.
Abstract:
A dual-chamber pacemaker was implanted because of symptomatic bradycardia in a 60-year-old patient free from other heart disease. Then, the patient developed acute congestive heart failure due to pacing-induced mitral regurgitation (MR). Under echocardiographic guidance, modification of location of the right ventricular pacing lead led to a significant decrease in MR severity resulting in immediate clinical improvement.
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