Does TEER resolve recurrent cerebral infarction in a patient with degenerative mitral regurgitation and non-bacterial thrombotic endocarditis?
A patient with degenerative mitral regurgitation and non-bacterial thrombotic endocarditis (NBTE) experiencing recurrent cerebral infarction
Transcatheter edge-to-edge repair (TEER)
Resolution of recurrent cerebral infarction
TEER may be a viable option for resolving recurrent cerebral infarction in patients with degenerative mitral regurgitation and non-bacterial thrombotic endocarditis, despite it traditionally being considered a contraindication.
Degenerative mitral regurgitation (MR) is a common valvular heart disease, with transcatheter edge-to-edge repair (TEER) an alternative option for high-risk patients. Non-bacterial thrombotic endocarditis (NBTE), a rare condition with sterile valvular excrescences, often causes cerebrovascular embolism and is thought to be the contraindication to TEER.
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Minghao Ma
Xinghua Gu
Wenzhi Pan
JACC Case Reports
Fudan University
Chinese Academy of Medical Sciences & Peking Union Medical College
Zhongshan Hospital
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Ma et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69df2a99e4eeef8a2a6af913 — DOI: https://doi.org/10.1016/j.jaccas.2026.108134