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Peer-reviewedCC BY-NC-ND 4.0Journal of the Society for Cardiovascular Angiography & Interventions

Mitral Transcatheter Edge-to-Edge Repair in a Challenging Anatomy With Deeply Implanted Self-Expanding Valve and Severe Mitral Annular Calcification: A Case Report

  • Muhammad Saad1
  • Raviteja Guddeti1
  • Nadia El-Hangouche1
  • Santiago Garcia1
  1. 1The Carl and Edyth Lindner Research Center at The Christ Hospital, Cincinnati, Ohio
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Abstract

Mitral transcatheter edge-to-edge repair (M-TEER) in the setting of prior transcatheter aortic valve replacement (TAVR) and severe mitral annular calcification (MAC) can pose procedural challenges. We describe the case of an 82-year-old woman with prior TAVR (29 mm EVOLUT FX+; Medtronic), P2 flail, and heavy circumferential MAC underwent M-TEER with the PASCAL Ace device (Edwards Lifesciences). This case illustrates that M-TEER can be performed safely and effectively in anatomies complicated by severe MAC and prior TAVR with careful preprocedural planning, intraprocedural imaging, and operator experience.

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Cite

BibTeXRIS
BibTeX
@article{saad2026mitral,
  title = {{Mitral Transcatheter Edge-to-Edge Repair in a Challenging Anatomy With Deeply Implanted Self-Expanding Valve and Severe Mitral Annular Calcification: A Case Report}},
  author = {Muhammad Saad and Raviteja Guddeti and Nadia El-Hangouche and Santiago Garcia},
  journal = {Journal of the Society for Cardiovascular Angiography \& Interventions},
  year = {2026},
  month = aug,
  doi = {10.1016/j.jscai.2026.105571},
  url = {https://doi.org/10.1016/j.jscai.2026.105571},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Mitral Transcatheter Edge-to-Edge Repair in a Challenging Anatomy With Deeply Implanted Self-Expanding Valve and Severe Mitral Annular Calcification: A Case Report
AU  - Muhammad Saad
AU  - Raviteja Guddeti
AU  - Nadia El-Hangouche
AU  - Santiago Garcia
PY  - 2026
DA  - 2026/08/13
JO  - Journal of the Society for Cardiovascular Angiography & Interventions
DO  - 10.1016/j.jscai.2026.105571
UR  - https://doi.org/10.1016/j.jscai.2026.105571
AB  - Mitral transcatheter edge-to-edge repair (M-TEER) in the setting of prior transcatheter aortic valve replacement (TAVR) and severe mitral annular calcification (MAC) can pose procedural challenges. We describe the case of an 82-year-old woman with prior TAVR (29 mm EVOLUT FX+; Medtronic), P2 flail, and heavy circumferential MAC underwent M-TEER with the PASCAL Ace device (Edwards Lifesciences). This case illustrates that M-TEER can be performed safely and effectively in anatomies complicated by severe MAC and prior TAVR with careful preprocedural planning, intraprocedural imaging, and operator experience.
SN  - 2772-9303
ER  -