Work

A clover-like repair strategy for posterior mitral leaflet cleft using transcatheter edge-to-edge repair

Year: 2026

Type: article

Abstract: A 75-year-old man presented with acute decompensated heart failure due to severe mitral regurgitation caused by central malcoaptation associated with a deep posterior mitral leaflet cleft and a tri-leaflet-like mitral valve configuration. Because of high surgical risk and frailty, transcatheter edge-to-edge repair was performed using the PASCAL Ace system. Initial direct approximation across the cleft caused leaflet distortion and residual mitral regurgitation between A2 and the lateral posterior mitral leaflet. A second device was therefore placed laterally, resulting in a clover-like configuration, reduced mitral regurgitation, and improved left atrial pressure.

Source: Cardiovascular Intervention and Therapeutics

DOI: 10.1007/s12928-026-01329-4

Authors: Jo Omiya, Akihisa Kataoka, Kento Kito, Masataka Arakawa, Yusuke Watanabe, Ken Kozuma

Institutions: Teikyo University Hospital, Teikyo University

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: $4,090