Staged Annuloplasty Enabling TEER in Extreme Secondary Mitral Regurgitation
Firas Jaly, Holger Priebe-Brämer, Boris Dickmann, Jadwiga Klajn, Klaus Witte, Hans-Jörg Hippe · 2026
Read Staged Annuloplasty Enabling TEER in Extreme Secondary Mitral Regurgitation by Firas Jaly, Holger Priebe-Brämer, Boris Dickmann, Jadwiga Klajn, Klaus Witte, Hans-Jörg Hippe (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13464272.txt.
Description
Firas Jaly and colleagues report a 2026 staged catheter strategy for a 71-year-old man whose mitral leak was too extreme for clip repair alone. Advanced non-ischaemic heart muscle disease had stretched his mitral ring to 7.4 centimetres, so edge-to-edge clip repair was first refused. A prior resynchronisation lead in the coronary sinus offered a landmark for the next step.
An indirect annuloplasty ring device shrank the annulus enough for clip repair, despite a squeezed circumflex artery that needed a stent rescue. Clip repair then cut the leak to a trace, with marked symptom and biomarker gains sustained at one year. Staged shrinking may thus open clip repair to patients once deemed anatomically hopeless, widening options in advanced leak.
Catalog record
| CREATOR | Firas Jaly, Holger Priebe-Brämer, Boris Dickmann, Jadwiga Klajn, Klaus Witte, Hans-Jörg Hippe |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 20 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |