Transcatheter, Transapical Mitral Valve Replacement After Mitral Valve Annuloplasty

Mitral regurgitation (MR) recurrence after annuloplasty can lead to high-risk reoperations affecting long-term outcome. Transcatheter, transapical mitral valve replacement (TMVR) is an alternative method to treat severe MR without the use of cardiopulmonary bypass. This report describes the case of an 80-year old man who had undergone a mitral annuloplasty in 2006 and who now presented with severe recurrent MR. We performed TMVR using the Tendyne system (Abbott Laboratories). Our experience showed that TMVR after annuloplasty can be a safe method, thus reducing the procedural time and providing an alternative to the MitraClip (Abbott Laboratories) in-the-ring and the transcatheter aortic valve in-the-ring concept.