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Updated: May 14, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Management Approach for Residual and Recurrent Mitral Regurgitation After Transcatheter Edge-to-Edge Repair
Jonathan X Fang1, Gennaro Giustino2, Kent Chak-Yu So3
1Center for Structural Heart Disease, Henry Ford Health System, Detroit, Michigan, USA.
Abstract:
Mitral valve transcatheter edge-to-edge repair (M-TEER) is an established treatment option for patients with severe mitral regurgitation (MR) at high risk for surgery. However, the rate of recurrent MR ≥ 3+ after M-TEER may be up to 10% at 1 year. As the volume of M-TEER procedures increases, the number of patients experiencing recurrent MR post-TEER is also rising. M-TEER reshapes valve anatomy and complicates further treatment strategies for MR. In this review, the authors provide practical management considerations for patients with residual or recurrent MR after M-TEER.
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