Key result
Emergency M-TEER successfully bridges a patient with cardiogenic shock and acute severe MR to surgery.
Why the study?
Emergency surgery for acute mitral insufficiency complicated by cardiogenic shock carries high perioperative risk, and evidence on the potential benefit of emergency M-TEER in the acute setting is lacking.
Emergency M-TEER may serve as a viable bridge to surgery to decrease perioperative risk in selected patients with acute mitral insufficiency and cardiogenic shock, even with unfavorable anatomy.
May reduce perioperative risk as bridge to surgery in acute MR shock; extends options even with unfavorable anatomy but remains hypothesis-generating.
Emergency surgery is the gold standard for acute mitral insufficiency complicated by cardiogenic shock, but it is burdened by a high perioperative risk. The evidence on the potential benefit of emergency mitral transcatheter edge-to-edge repair (M-TEER) in the acute setting is lacking. We describe the successful emergency M-TEER in a 80 years old patient with a highly complex anatomy, as a bridge to surgery, in the setting of cardiogenic shock due to acute severe mitral and tricuspid regurgitation. M-TEER as a bridge to surgery could be considered to decrease perioperative risk in selected patients and enlarged to acute settings even under unfavorable anatomical conditions.
No takes yet. Share an insight, caveat, or question.
Besnard et al. (2026) studied this question. Emergency mitral transcatheter edge-to-edge repair successfully served as a bridge to surgery in an 80-year-old patient with cardiogenic shock and acute severe mitral regurgitation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: