Case 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 Cava

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. 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. 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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