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Updated: Jan 8, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Formación de trombos apicales del ventrículo derecho después de la reparación transcatéter de la válvula mitral de

Shuyue Cai¹, Jun Zhang¹, Zhongshan Gou¹

¹Department of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Suzhou, China.

Frontiers in cardiovascular medicine

|December 22, 2025

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.

Palabras clave:

tratamiento anticoagulante insuficiencia cardíaca trombosis apical del ventrículo derecho insuficiencia mitral severa reparación transcatéter de borde a borde (TEER)

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