{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:06:18Z","timestamp":1776949578614,"version":"3.51.4"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Transcatheter mitral valve replacement (TMVR) is an emerging therapy for patients with severe mitral regurgitation (MR) who are not suitable for surgery or edge-to-edge repair. The impact of TMVR on right ventricular (RV) function and RV-pulmonary artery (PA) coupling remains poorly understood. We aimed to investigate the prognostic significance of right heart function and RV-PA coupling in TMVR recipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study evaluated patients from the multicentre TENDER registry entailing transapical TMVR with the Tendyne valve. We assessed RV systolic function, tricuspid regurgitation (TR), systolic PA pressure (sPAP), and the tricuspid annulus plane systolic excursion (TAPSE)\/sPAP ratio as a marker of RV-PA coupling before and 1 year after TMVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 195 patients, 57.4% had impaired RV-PA coupling (TAPSE\/sPAP &amp;lt; 0.4) at baseline. One year after TMVR, sPAP and TR severity significantly improved, while TAPSE slightly declined. The TAPSE\/sPAP ratio increased modestly. Patients with preserved baseline RV-PA coupling experienced numerically lower rates of mortality and heart failure hospitalization at 1 year, although the differences did not reach the statistical significance. Reversal of pulmonary hypertension was associated with lower mortality or rehospitalization risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RV dysfunction and impaired RV-PA coupling are frequent among TMVR candidates. They may inform risk stratification and carry prognostic significance. TMVR is associated with haemodynamic improvements that could benefit RV-PA coupling. Patients with secondary MR, with baseline association of impaired coupling and severe TR, or failed reversal of pulmonary hypertension may require closer clinical follow-up. Further studies are warranted to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag107","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T17:42:08Z","timestamp":1774028528000},"source":"Crossref","is-referenced-by-count":0,"title":["Evolution of Right Ventricular Function and Pulmonary Artery Coupling After Transapical Transcatheter Mitral Valve Replacement"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1304-6644","authenticated-orcid":false,"given":"Amedeo","family":"Anselmi","sequence":"first","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Pontchaillou University Hospital, University of Rennes, CHU Rennes, Inserm, LTSI\u2014UMR 1099 , F-35000 Rennes,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Hell","sequence":"additional","affiliation":[{"name":"Heart Valve Center Mainz, Structural Heart and Valvular Interventions, ACHD, Cardiology, CV Imaging, Langenbekstrasse 1, 55131 Mainz,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8259-1737","authenticated-orcid":false,"given":"Stephan","family":"Baldus","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Center, University Hospital Cologne , Kerpener Str. 62, 50937 Cologne,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Sonia","family":"Petronio","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Department, University of Pisa , Via Giovanni Arcangeli, 4, Pisa 56123,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Rudolph","sequence":"additional","affiliation":[{"name":"Heart and Diabetes Center NRW, Department of General and Interventional Cardiology\/Angiology, Ruhr-Universit\u00e4t Bochum , Georgstrasse 11, 32545 Bad Oeynhausen,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4169-3766","authenticated-orcid":false,"given":"Thomas","family":"Modine","sequence":"additional","affiliation":[{"name":"CHU Bordeaux, Hopital Cardiologique Haut Leveque , Avenue Magellan, 33600 Pessac,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-5432","authenticated-orcid":false,"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[{"name":"Medical University of Vienna, Wahringer Gurtel 18-20, 1090 Vienna ,","place":["Austria"]},{"name":"Medical University Graz , Neue Stiftingtalstrasse 6, 8010 Graz,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joerg","family":"Hausleiter","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, LMU University Hospital , Ziemssenstrasse 5, 80336 Munich,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3438-8907","authenticated-orcid":false,"given":"Luis","family":"Nombela-Franco","sequence":"additional","affiliation":[{"name":"Cardiovascular Institute, Hospital Clinico San Carlos , IdISSC, Calle del Prof Martin Lagos, S\/N, Monchoa - Aravaca, 28040 Madrid,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1662-7874","authenticated-orcid":false,"given":"Augustin","family":"Coisne","sequence":"additional","affiliation":[{"name":"Univ. 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