{
  "abstract": "Objectives: Transcatheter mitral valve replacement (TMVR) is an emerging therapy for patients with severe mitral regurgitation (MR) who are not suitable for surgery or edge-to-edge repair. The impact of TMVR on right ventricular (RV) function and RV-pulmonary artery (PA) coupling remains poorly understood. We aimed to investigate the prognostic significance of right heart function and RV-PA coupling in TMVR recipients. Methods: This study evaluated patients from the multicentre TENDER registry entailing transapical TMVR with the Tendyne valve. We assessed RV systolic function, tricuspid regurgitation (TR), systolic PA pressure (sPAP), and the tricuspid annulus plane systolic excursion (TAPSE)/sPAP ratio as a marker of RV-PA coupling before and 1 year after TMVR. Results: Among 195 patients, 57.4% had impaired RV-PA coupling (TAPSE/sPAP < 0.4) at baseline. One year after TMVR, sPAP and TR severity significantly improved, while TAPSE slightly declined. The TAPSE/sPAP ratio increased modestly. Patients with preserved baseline RV-PA coupling experienced numerically lower rates of mortality and heart failure hospitalization at 1 year, although the differences did not reach the statistical significance. Reversal of pulmonary hypertension was associated with lower mortality or rehospitalization risk. Conclusions: RV dysfunction and impaired RV-PA coupling are frequent among TMVR candidates. They may inform risk stratification and carry prognostic significance. TMVR is associated with haemodynamic improvements that could benefit RV-PA coupling. Patients with secondary MR, with baseline association of impaired coupling and severe TR, or failed reversal of pulmonary hypertension may require closer clinical follow-up. Further studies are warranted to validate these findings.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 36,
  "authors": [
    {
      "name": "Amedeo Anselmi"
    },
    {
      "name": "Michaela Hell"
    },
    {
      "name": "Stephan Baldus"
    },
    {
      "name": "Anna Sonia Petronio"
    },
    {
      "name": "Tanja Rudolph"
    },
    {
      "name": "Thomas Modine"
    },
    {
      "name": "Martin Andreas Volkl"
    },
    {
      "name": "Joerg Hausleiter"
    },
    {
      "name": "Luis Nombela-Franco"
    },
    {
      "name": "Augustin Coisne"
    },
    {
      "name": "Fabien Praz"
    },
    {
      "name": "Alison Duncan"
    },
    {
      "name": "Hendrik Ruge"
    },
    {
      "name": "Lenard Conradi"
    },
    {
      "name": "Georg Nickenig"
    },
    {
      "name": "Miguel Piñón"
    },
    {
      "name": "Nicolas Dumonteil"
    },
    {
      "name": "Andreas Zierer"
    },
    {
      "name": "Marianna Adamo"
    },
    {
      "name": "Vanessa Monivas"
    },
    {
      "name": "Sebastian Barth"
    },
    {
      "name": "Francesco Maisano"
    },
    {
      "name": "Andrea Fumero"
    },
    {
      "name": "Christophe Dubois"
    },
    {
      "name": "Juan Munguira"
    },
    {
      "name": "Francesco Musumeci"
    },
    {
      "name": "Felix Kreidel"
    },
    {
      "name": "Gaby Aphram"
    },
    {
      "name": "Thomas Walther"
    },
    {
      "name": "Philip Lurz"
    },
    {
      "name": "Riccardo Gherli"
    },
    {
      "name": "Mirjam Wild"
    },
    {
      "name": "Pierre Flores"
    },
    {
      "name": "Guillaume Leurent"
    },
    {
      "name": "Ralph Stephan von Bardeleben"
    },
    {
      "name": "Erwan Donal"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/67nw0yyxf957w.bib",
  "cited_by": 0,
  "doi": "10.1093/ejcts/ezag107",
  "fulltext_url": null,
  "id": "67nw0yyxf957w",
  "issns": [
    "1010-7940",
    "1873-734X"
  ],
  "landing_url": "https://hal.science/hal-05587703v1",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "openalex",
      "2705|Cardiac Valve Diseases and Treatments"
    ]
  ],
  "openalex": "W7139936728",
  "pdf_url": "https://hal.science/hal-05587703/document",
  "pmcid": null,
  "pmid": "41860934",
  "published": "2026-09-07",
  "publisher": "Oxford University Press (OUP)",
  "ris": "https://research.draconitic.com/paper/67nw0yyxf957w.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:29Z",
      "native_id": "hal-05587703",
      "source": "hal",
      "url": "https://hal.science/hal-05587703v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Evolution of Right Ventricular Function and Pulmonary Artery Coupling After Transapical Transcatheter Mitral Valve Replacement",
  "title_text": "Evolution of Right Ventricular Function and Pulmonary Artery Coupling After Transapical Transcatheter Mitral Valve Replacement",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:29Z",
  "url": "https://research.draconitic.com/paper/67nw0yyxf957w",
  "venue": "European Journal of Cardio-Thoracic Surgery",
  "versions": []
}