{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:08:20Z","timestamp":1778825300586,"version":"3.51.4"},"reference-count":5,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mitral regurgitation (MR) is the valent type of valvular heart disease, caused by primary leaflet lesions or annular dilatation secondary to left ventricular dysfunction. It can lead to a series of complications such as volume overload, exacerbated pulmonary congestion, and heart failure, significantly impacting patient prognosis. Surgical mitral valve repair or replacement is currently the gold standard for MR treatment but is associated with substantial trauma, numerous complications, and poor tolerance in elderly high\u2010risk patients. As an emerging minimally invasive technique, transcatheter mitral valve repair with MitraClip alleviates MR by tethering the edges of the anterior and posterior leaflets to create a bileaflet orifice (Peng et al. 2025). Compared with surgical procedures, it offers advantages of minimal trauma and rapid recovery, making it more suitable for elderly high\u2010risk patients with multiple comorbidities. Mirror\u2010image dextrocardia is a rare anatomical variation with an incidence of approximately 1\/10,000. The heart is located in the right hemithorax with the apex pointing to the right lower quadrant, and the positions of great vessels and cardiac chambers are completely reversed from normal. This unique anatomy poses significant challenges to MitraClip surgery. This article summarizes the nursing experience of the first domestic case of a patient with mirror\u2010image dextrocardia complicated by MR who underwent MitraClip implantation, aiming to explore the key perioperative management points for such high\u2010risk cases and provide references for future similar surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70564","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T04:44:04Z","timestamp":1773981844000},"page":"1960-1963","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comprehensive Nursing Management of Anticoagulation and Heart Failure Surveillance in a Chinese Patient With Mirror\u2010Image Dextrocardia Post\u2010MitraClip Surgery: A First Case Report"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5587-3148","authenticated-orcid":false,"given":"Juelian","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiology General Hospital of Southern Theatre Command Guangzhou People's Liberation Army China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiology General Hospital of Southern Theatre Command Guangzhou People's Liberation Army China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Shang","sequence":"additional","affiliation":[{"name":"Department of Cardiology General Hospital of Southern Theatre Command Guangzhou People's Liberation Army China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Cardiology General Hospital of Southern Theatre Command Guangzhou People's Liberation Army China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinxia","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology General Hospital of Southern Theatre Command Guangzhou People's Liberation Army China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"issue":"02","key":"e_1_2_11_2_1","first-page":"477","article-title":"Summary of the Best Evidence for Anticoagulation Management in Patients After Cardiac Valve Surgery","volume":"54","author":"Peng J. L.","year":"2025","journal-title":"Journal of Chongqing Medicine"},{"issue":"12","key":"e_1_2_11_3_1","first-page":"1820","article-title":"Effect of the Physician\u2010Nurse\u2010Pharmacist Collaborative Management Model on Anticoagulation Management in Patients After Cardiac Valve Replacement","volume":"35","author":"Xiang M.","year":"2024","journal-title":"Journal of Hainan Medical Journal"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"157","article-title":"Progress in the Application of Anticoagulation Management in Patients After Mechanical Valve Replacement","volume":"24","author":"Zhang X.","year":"2024","journal-title":"Journal of Chinese Nursing Management"},{"issue":"19","key":"e_1_2_11_5_1","first-page":"2954","article-title":"Application Effect of a Health Education Program Based on the Best Evidence in Anticoagulation Management of Patients After Cardiac Valve Replacement","volume":"20","author":"Wei W. T.","year":"2023","journal-title":"Journal of Nursing Practice and Research"},{"issue":"02","key":"e_1_2_11_6_1","first-page":"340","article-title":"Application of Activated Clotting Time Monitoring in Heparin Anticoagulation Management During Continuous Renal Replacement Therapy in Elderly Patients After Cardiopulmonary Bypass","volume":"42","author":"Li W. F.","year":"2022","journal-title":"Journal of Chinese Journal of Gerontology"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70564","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70564","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:18:45Z","timestamp":1778822325000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccd.70564"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70564","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,19]]},"assertion":[{"value":"2026-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}