Work

Transcatheter Mitral Valve Repair for Wide Prolapse With Large Flail Facilitated by Ventricular Pacing

Year: 2025

Type: article

Abstract: BACKGROUND: Transcatheter edge-to-edge repair (TEER) has been established as a safe and effective option for treating patients with severe symptomatic degenerative mitral regurgitation (MR) who are at high surgical risk. CASE SUMMARY: This paper presents a case of a 74-year-old male patient with severe MR accompanied with wide prolapse and large flail, treated using an innovative TEER system, GeminiOne, and ventricular pacing. Postoperative echocardiography demonstrated a significant reduction in MR. DISCUSSION: This case report highlights the successful use of the GeminiOne TEER system to treat severe MR with complex anatomical challenge. The innovative use of ventricular pacing for leaflet capture can be valuable for managing complex mitral valve pathologies in high-risk patients. TAKE-HOME MESSAGE: This case highlights the safety and efficacy of the device and introduces a novel leaflet capture strategy.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103920

Authors: Xuanshu Li, Yongquan Xie, Xiangbin Pan

Institutions: Chinese Academy of Medical Sciences & Peking Union Medical College, Fu Wai Hospital

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850