Transcatheter edge-to-edge repair for secondary mitral regurgitation: what the clinician needs to know in the absence of robust data from international guidelines

Figures

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  Figure 1. Patient with SMR who received TEER. 3D-TEE (A) and 3D-TEE (B) color en-face view showing central SMR. (C) A 3D-TEE en-face view after a successful procedure with implantation of 2 central MitraClips (Abbott Vascular, Menlo Park, CA, USA). (D) Transthoracic echocardiographic 3-chamber view shows persistent good results at 1 year with residual mild mitral regurgitation and a gradient at 4 mm. SMR, secondary mitral regurgitation; TEER, transcatheter edge-to-edge repair; 3D, three-dimensional; TEE, transesophageal echocardiography.

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  Figure 2. Algorithm for determining eligibility for TEER. TTE, transthoracic echocardiography; AHA, American Heart Association; ACC, American College of Cardiology; ESC, European Society of Cardiology; NYHA, New York Heart Association; FEA, finite element analysis; TEE, transesophageal echocardiography; MR, mitral regurgitation; MV, mitral valve; TEER, transcatheter edge-to-edge repair.