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Updated: Aug 6, 2026
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transcatheter Edge-to-Edge Repair of the Systemic AV Valve in Atrial Switch TGA
Georgios E Papadopoulos1, Ilias Ninios1, Vlasis Ninios1
1Cardiology Department, Interbalkan Medical Center, Thessaloniki, Greece.
Summary
Transcatheter edge-to-edge repair (TEER) for systemic atrioventricular valve regurgitation (SAVVR) in adults with dextro-transposition of the great arteries (d-TGA) can be achieved via a jugular approach. This novel technique facilitates transbaffle access when transfemoral routes are unsuitable.
Area of Science:
- Cardiology
- Interventional Cardiology
- Congenital Heart Disease
Background:
- Adults with dextro-transposition of the great arteries (d-TGA) repaired with atrial switch operations often develop systemic atrioventricular valve regurgitation (SAVVR).
- SAVVR is linked to progressive systemic right ventricular (RV) failure and poor outcomes.
- Surgical reintervention is high-risk, and transcatheter edge-to-edge repair (TEER) experience is limited, especially with transbaffle access needs.
