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Updated: Sep 10, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Transseptal Transcatheter Mitral Valve Replacement With a Novel Bioprosthesis in a Patient With Challenging Anatomy
Tamaz Shaburishvili1, Lauren S Ranard2, Teona Zirakashvili3
1Tbilisi Heart and Vascular Clinic, Tbilisi, Georgia, USA.
Background:
A number of transcatheter-based therapies are emerging as therapeutic options for high-surgical risk patients with moderate-to-severe or severe mitral regurgitation (MR).
Case Summary:
This is the first published report of treatment with the fully percutaneous, transfemoral, transseptal Saturn mitral valve replacement device in a 66-year-old woman with 3+ symptomatic MR. Ultimately, the patient had elimination of her MR and symptomatic improvement.
Discussion:
This transcatheter mitral valve replacement device allows for basal annular stabilization and preservation of the neo-left ventricular outflow tract. Despite the difficult anatomy (small left heart size and limited transseptal height), device implantation was successful with the Saturn delivery system.
Take-Home Message:
Saturn transcatheter mitral valve replacement offers a feasible alternative for the treatment of secondary MR.
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