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Updated: Jul 10, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Percutaneous edge-to-edge repair as a bailout option to treat Iatrogenic leaflet perforation
Andrea Fisicaro1, Daniela Mele1, Enrico Fabris2
1Interventional Cardiology Unit, Maria Cecilia Hospital, GVM Care and Research, Cotignola, Italy.
Abstract:
An 80-year-old man was referred to our center for heart failure and severe degenerative mitral regurgitation (MR). Transesophageal echocardiography revealed severe MR due to anterior leaflet prolapse, mainly in its central portion (A2) in the context of fibroelastic deficiency.
Insights
An elderly man experienced heart failure due to severe mitral regurgitation (MR). Echocardiography identified anterior leaflet prolapse as the cause of this significant heart valve problem.
Area of Science:
- Cardiology
- Cardiac Surgery
- Echocardiography
Background:
- Degenerative mitral regurgitation (MR) is a common cause of heart failure in the elderly.
- Fibroelastic deficiency is a frequent etiology of anterior mitral valve leaflet prolapse.
- Accurate diagnosis of MR severity and etiology is crucial for guiding treatment.
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