Current Devices in Mitral Valve Replacement and Their Potential Complications

Frontiers in Cardiovascular Medicine

article

Livia Gheorghe¹  Jorn Brouwer¹  Dee Dee Wang²  Nina Wunderlich³  Bushra Rana⁴  Benno Rensing¹  Frank Eefting¹  Leo Timmers¹  Martin Swaans¹ 

[1] St. Antonius Hospital;Henry Ford Hospital;Cardiovascular Center Darmstadt;Royal Papworth Hospital NHS Foundation Trust

关键词: mitral valve;    mitral replacement;    complication;    minimal invasive approach;    LVOT obstruction;   

DOI  :  10.3389/fcvm.2020.531843

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Mitral regurgitation is one of the most prevalent valvulopathies worldwide, and its surgical treatment is not feasible in all cases. The elderly and frail with several comorbidities and left ventricular dysfunction are often managed conservatively. Percutaneous treatment (repair or replacement) of the mitral valve has emerged as a potential option for those patients who are at a high risk for surgery. Mitral valve repair with the Mitraclip device proved both increased safety and mortality reduction in patients with severe mitral regurgitation. On the other hand, in the last decade, percutaneous mitral replacement opened new frontiers in the field of cardiac structural interventions. There are few mitral devices; some are in the early phase of development and some are waiting for CE mark of approval. The evolution of these devices was more complicated compared to the aortic technology due to the native mitral valve's complexity and access. This review aims to provide an overview of the current devices, their specific features, and their potential complications.

【 授权许可】

CC BY