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Updated: Mar 17, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Transapical Mitral Valve Replacement for Mixed Native Mitral Stenosis and Regurgitation
Edo Bedzra1, Creighton W Don2, Mark Reisman2
1Division of Cardiothoracic Surgery, University of Washington Medical Center, Seattle, Washington.
Abstract:
A 71-year-old man presented with New York Heart Association (NYHA) class IV heart failure. He had undergone transapical mitral valve replacement for mixed mitral stenosis and mitral regurgitation. At the 1 month follow-up, the patient reported symptom resolution. An echocardiogram revealed a low gradient and no regurgitation. Our case shows that with careful multidisciplinary evaluation, preoperative planning, and patient selection, percutaneous mitral intervention can become an alternative therapy for high-risk patients who cannot undergo conventional surgical therapy.
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