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Updated: Jan 8, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Right ventricular apical thrombus formation after transcatheter edge-to-edge mitral valve repair: a case report
Shuyue Cai1, Jun Zhang1, Zhongshan Gou1
1Department of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Suzhou, China.
Abstract:
Transcatheter edge-to-edge repair is an alternative therapy for patients with severe mitral regurgitation. Here, we report the first case of right ventricular apical thrombus formation following transcatheter edge-to-edge repair in a 54-year-old male with heart failure and reduced ejection fraction. Post-procedural transthoracic echocardiography revealed multiple apical right ventricular thrombi on postoperative day 2. Anticoagulation with warfarin and low-molecular-weight heparin resulted in thrombus resolution, and the patient was discharged uneventfully. This case highlights the importance of vigilant postoperative monitoring and tailored thromboprophylaxis in patients with impaired ventricular function.
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