emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2026.10.1.2849emcardio-350Research ArticleИНТЕРЕСНЫЙ КЛИНИЧЕСКИЙ СЛУЧАЙAN INTERESTING CLINICAL CASEКлинический случай: трансюгулярная транскатетерная пластика митрального клапана «край-в-край» (M-TEER) у пациента с функциональной митральной регургитацией и атрезией инфраренального сегмента нижней полой веныCase report: Transjugular Transcatheter Mitral Valve Edge-to-Edge Repair (M-TEER) in a Patient with Functional Mitral Regurgitation and Atresia of the Infrarenal Inferior Vena CavaПолонецкийО. Л.PolonetskyO. L.

Минск

Minsk

oleg.polonetsky@gmail.comДриневскаяУ. П.DrinevskayaU. P.

Минск

Minsk

КурлянскаяЕ. К.KurlyanskayaE. K.

Минск

Minsk

ОсмоловскаяТ. В.OsmolovskayaT. V.

Минск

Minsk

ДубовикТ. А.DubovikT. A.

Минск

Minsk

ШатоваО. Г.ShatovaO. G.

Минск

Minsk

ЕзутовН. Н.YezutovN. N.

Минск

Minsk

СилищевС. О.SilishchevS. O.МакеевМ. И.MakeevM. I.

Москва

Moscow

УЗ «Республиканский научно-практический центр ”Кардиология”»БеларусьRepublican Scientific and Practical Center “Cardiology”BelarusAbbott Laboratories LLCРоссияAbbott Laboratories LLCRussian FederationФГБУ «Национальный медицинский исследовательский центр кардиологии им. Академика Е.И. Чазова»РоссияNational Medical Research Center of Cardiology named after Academician E.I. ChazovRussian Federation20262107202610128492854Copyright © Полонецкий О.Л., Дриневская У.П., Курлянская Е.К., Осмоловская Т.В., Дубовик Т.А., Шатова О.Г., Езутов Н.Н., Силищев С.О., Макеев М.И., 20262026Полонецкий О.Л., Дриневская У.П., Курлянская Е.К., Осмоловская Т.В., Дубовик Т.А., Шатова О.Г., Езутов Н.Н., Силищев С.О., Макеев М.И.Polonetsky O.L., Drinevskaya U.P., Kurlyanskaya E.K., Osmolovskaya T.V., Dubovik T.A., Shatova O.G., Yezutov N.N., Silishchev S.O., Makeev M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/350

Транскатетерная пластика митрального клапана «край-в-край» (M-TEER) с использованием системы MitraClip в основном выполняется трансфеморальным доступом. Однако, если этот доступ невозможен, в качестве альтернативы может использоваться трансюгулярный доступ.

Описание клинического случая. В статье описан первый случай по данным стран Содружества Независимых Государств успешного транскатетерного вмешательства (M-TEER) MitraClip у 55-летнего пациента с дилатационной кардиомиопатией, тяжелой функциональной митральной регургитацией и врожденной атрезией нижней полой вены, исключающей стандартный бедренный доступ. В связи с рефрактерной сердечной недостаточностью (NYHA IV) и высоким хирургическим риском (EuroSCORE II 18,6%), доступ к митральному клапану был осуществлен через правую внутреннюю яремную вену (трансюгулярно).

Заключение. Мы описали успешное выполнение транскатетерной эндоваскулярной реконструкции митрального клапана (M-TEER) с использованием доступа через правую внутреннюю яремную вену у пациента с тяжелой функциональной митральной регургитацией. Технические аспекты M-TEER требуют особого внимания из-за ограниченного количества сообщений о процедуре M-TEER через внутреннюю яремную вену.

Transcatheter edge-to-edge repair (M-TEER) of the mitral valve using the MitraClip system is predominantly performed via a transfemoral approach. However, if this access route is unavailable, a transjugular approach can serve as an alternative.

Case Presentation

Case Presentation. This article reports the first successful transcatheter M-TEER procedure using the MitraClip system in the CIS region. It involves a 55-year-old patient with dilated cardiomyopathy, severe functional mitral regurgitation, and congenital inferior vena cava atresia, which precluded standard femoral access. Due to refractory heart failure (NYHA class IV) and high surgical risk (EuroSCORE II 18.6%), access to the mitral valve was achieved via the right internal jugular vein (transjugular approach).

Conclusion

Conclusion. We describe the successful implementation of transcatheter endovascular mitral valve repair (M-TEER) via the right internal jugular vein in a patient with severe functional mitral regurgitation (MR). The technical aspects of this approach require careful consideration, given the limited number of reports on M-TEER procedures performed via the internal jugular vein.

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The authors declare that there are no conflicts of interest present.