Mitral Transcatheter Edge-to-Edge Repair in a Pregnant Woman

Secondary mitral regurgitation (MR) associated with left ventricular dysfunction carries a high risk of acute heart failure during pregnancy because of associated hemodynamic changes. Mitral transcatheter edge-to-edge repair (TEER) is currently recommended for symptomatic patients with secondary MR; however, no evidence exists on the use of this therapy in pregnancy. We present a case of secondary MR in a pregnant woman with dilated cardiomyopathy. She was successfully treated with TEER with minimal use of fluoroscopy (35 seconds). This is the first case to our knowledge of mitral TEER during pregnancy described in the literature, suggesting feasibility and safety of this procedure.

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Publication Details

Journal
JACC Case Reports
Published
2025-03-01
DOI
https://doi.org/10.1016/j.jaccas.2024.102995
Primary Topic
Cardiovascular Issues in Pregnancy
Type
article
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article

Mitral Transcatheter Edge-to-Edge Repair in a Pregnant Woman

Gaspard Suc, Grégory Ducrocq, Bernard Iung, Clémence Delhomme et al.
JACC Case Reports
Cardiovascular Issues in Pregnancy
article

Mitral Transcatheter Edge-to-Edge Repair in a Pregnant Woman

Gaspard Suc, Grégory Ducrocq, Bernard Iung, Clémence Delhomme, Dominique Himbert, Marina Ureña, Éric Brochet, Tiphaine Barral, Agnès Bourgeois-Moine, Claire Thuillier
article en

Abstract

Secondary mitral regurgitation (MR) associated with left ventricular dysfunction carries a high risk of acute heart failure during pregnancy because of associated hemodynamic changes. Mitral transcatheter edge-to-edge repair (TEER) is currently recommended for symptomatic patients with secondary MR; however, no evidence exists on the use of this therapy in pregnancy. We present a case of secondary MR in a pregnant woman with dilated cardiomyopathy. She was successfully treated with TEER with minimal use of fluoroscopy (35 seconds). This is the first case to our knowledge of mitral TEER during pregnancy described in the literature, suggesting feasibility and safety of this procedure.

JACC Case ReportsVol. 30(5)
Inserm (FR), Délégation Paris 7 (FR), Université Paris Cité (FR), Assistance Publique – Hôpitaux de Paris (FR)
Gender equality
Openalex Percentile: Top 93%
Cardiovascular Issues in Pregnancy
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Mitral Transcatheter Edge-to-Edge Repair in a Pregnant Woman — Gaspard Suc, Grégory Ducrocq, et al. · JACC Case Reports (2025) | TGRS Research Map | TGRS