10 Commandments of TEER in Patients With Secondary Mitral Regurgitation – Maheedhar Gedela, Gilbert H. L. Tang, 2023
Secondary mitral regurgitation (SMR) in heart failure (HF) patients results from the decreased left ventricular (LV) systolic function and alterations in the LV geometry causing incomplete mitral leaflet coaptation from increased leaflet tethering or decreased closing forces or both as an underlying mechanism. SMR is strongly associated with poor quality of life and recurrent HF hospitalizations, and the 5-year mortality is nearly 60%. 1, 2 Treatment options for SMR include guideline-directed medical