15 Feb 2026
Primary mitral TEER in small anatomy - LIVE case
Primary mitral TEER with one device
Operators:
A. Sugiura, M. Yamamoto
Procedural Analyst:
S. Kubo
Summary
An 89-year-old male with diabetes mellitus, hypertension, chronic kidney disease (eGFR: 46), and CAD with a history of NSTEMI and CTO of the RCA, presented with symptomatic primary mitral regurgitation (P1–P2 prolapse) and preserved LV function (56%).
One Pascal ACE device was implanted.
LIVE Educational Case from Nagoya Heart Center - Nagoya, Japan
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Key moments
- 35:47–50:56 – Pascal ACE implantation after 4 optimisations
- 55:47–1:10:40 – Decision not to implant a second device
- 1:13:23–1:21:15 – Procedural analysis
Keywords: PMR, Pascal
Learning Objectives
- To explore the contemporary steps of mitral TEER
- To understand the central role of imaging for transcatheter mitral procedures
- To discuss available transcatheter options for complex mitral valve disease
