Transcatheter Mitral Valve Plication

Transcatheter Mitral Valve Implantation

T he rationale for the development of a transcatheter mitral valve implantation (tMVI) procedure, either percutaneous or via minimally invasive surgery (MIS), arose from consideration of several key surgical concepts. First, mitral valve replacement is the most effective modality and the gold standard procedure for reliably reducing mitral regurgitation (MR). The efficacy and risks of mitral va...

Failed valve-in-valve transcatheter mitral valve implantation.

A 73-year old man underwent trans-septal anterograde implantation of a 26-mm Sapien-XT valve (Edwards Lifesciences, CA, USA) to treat a degenerated 27-mm Carpentier-Edwards bioprosthesis. During the follow-up, the patient experienced severe haemolysis with moderate-to-severe inter-valvular leak, and fluoroscopy revealed possible incomplete apposition of the Sapien-XT (Fig. 1). Reoperation was p...

Transcatheter mitral valve repair and replacement.

Transcatheter mitral and pulmonary valve therapy.

As the percentage of seniors continues to rise in many populations around the world, the already challenging burden of valvular heart disease will become even greater. Unfortunately, a significant proportion of patients with moderate-to-severe valve disease are refused or denied valve surgery based on age and/or accompanying comorbidities. Furthermore, because of advances in pediatric cardiolog...

Transcatheter mitral valve therapy: The event horizon.

From the Division of Cardiothoracic Surgery, West Virginia University, Morgantown, WV; Division of Cardiothoracic Surgery, Emory University, Atlanta, Ga; Department of Cardiothoracic Surgery, University of Virginia, Charlottesville, Va; and Department of Cardiothoracic Surgery, Baylor & Scott White Health, Dallas, Tex. Received for publication Jan 26, 2016; revisions received March 12, 2016; ac...