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Updated: Jun 27, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Strategies for endovascular mitral valve repair
1Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, MA 02118, USA.
Nonsurgical mitral valve repair is now possible thanks to technological advances in endovascular techniques. This review covers percutaneous transcatheter methods for mitral valve disease, including edge-to-edge repair and annuloplasty.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Mitral valve disease management is evolving with technological advancements.
- Endovascular techniques offer potential for nonsurgical treatment options.
- Existing surgical paradigms for mitral regurgitation are being challenged.
Purpose of the Study:
- To review the current status of percutaneous transcatheter techniques for mitral valve repair.
- To explore emerging nonsurgical treatment possibilities for mitral valve disease.
Main Methods:
- Review of percutaneous transcatheter techniques for mitral valve repair.
- Inclusion of methods such as balloon mitral valvotomy, annuloplasty (indirect and direct), ventricular shape change, and edge-to-edge repair.
Main Results:
- Balloon mitral valvotomy has been established for over two decades.
- Numerous devices for mitral regurgitation repair are in preclinical and clinical development.
- Techniques range from adaptations of surgical methods to novel approaches.
Conclusions:
- Percutaneous transcatheter techniques represent a significant advancement in mitral valve repair.
- These methods signify a new interdisciplinary approach between cardiac surgery and interventional cardiology.
- Minimally-invasive mitral valve repair is a rapidly developing frontier in cardiac care.
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