Work

Transcatheter edge-to-edge repair of the systemic atrioventricular valve in a patient with congenitally corrected transposition of the great arteries and dextrocardia

Year: 2025

Type: article

Abstract: A 33-year-old male with congenitally corrected transposition of the great arteries (ccTGA), dextrocardia and situs solitus presented with dyspnea at rest, classified as New York Heart Association (NYHA) class IV, in the context of severe systemic atrioventricular valve (SAVV) regurgitation, and impaired systolic function of the systemic morphologically right ventricle. Due to high surgical risk, the Heart Team opted for a transcatheter edge-to-edge repair (TEER) using a PASCAL ACE device. The procedure successfully reduced regurgitation from severe to mild, resulting in symptomatic improvement and recovery to NYHA class I at six-month follow-up. This case highlights the feasibility of TEER as a minimally invasive alternative in selected patients with ccTGA and systemic AV valve regurgitation.

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2025.100086

Authors: Georgios E. Papadopoulos, Ilias Ninios, George Giannakoulas, Sotirios Evangelou, Andreas Ioannides, Vlasis Ninios

Institutions: Interbalkan Medical Center, Aristotle University of Thessaloniki, AHEPA University 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: hybrid

Estimated APC paid: $920