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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Concomitant Mitral Transcatheter Edge-to-Edge Repair and Transcatheter Closure of Perforated Anterior Mitral Valve

Shriya K Prakash1, Caitlyn Andreas1, Chloe Kharsa1

  • 1Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.

JACC. Case Reports
|April 10, 2025
PubMed

Insights

This case study details a minimally invasive transcatheter repair for severe mitral regurgitation and a perforated mitral valve leaflet, offering a high-risk option for complex cardiac conditions.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • A 76-year-old male with prior aortic valve replacement, nonischemic cardiomyopathy, and severe secondary mitral regurgitation (SMR) presented with exertional dyspnea.
  • Echocardiography identified severe SMR and a critical perforation in the anterior mitral valve leaflet (AMVL).
  • The patient was deemed high-risk for conventional open-heart surgery.
Keywords:
MitraClipmitral transcatheter edge-to-edge repair (MTEER)perforated mitral valveplugsecondary mitral regurgitation

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