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Updated: Jun 26, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Transcatheter Mitral Valve Replacement Using a Dedicated Mitral Valve System
Julio Echarte-Morales1, Andrés Antelo-Abeijón1, Manuel Barreiro-Pérez1
1Department of Cardiology. University Hospital Alvaro Cunqueiro, Vigo, Spain. Cardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Fundación Biomédica Galicia Sur, Servizo Galego de Saude, University of Vigo, Vigo, Spain.
Background:
Mitral valve regurgitation is a highly prevalent disease in elderly population that causes significant morbidity and mortality.
Case Summary:
A 77-year-old male presented with worsening functional class and asthenia. A transthoracic and transesophageal echocardiography showed severe mitral regurgitation (MR). The patient underwent transcatheter mitral replacement procedure.
Discussion:
The treatment of severe MR in patients with high surgical risk remains a clinical challenge. Transcatheter mitral edge-to-edge repair is an established therapy in secondary MR; however, transcatheter mitral valve replacement (TMVR) may be an option in some patients with non-optimal anatomic features such as degenerative MR. Cardiac computed tomography planification is needed to guide the procedure and reduce potential complications.
Take-Home Messages:
TMVR is a feasible and effective alternative in patients with severe degenerative MR, high surgical risk, and unfavorable anatomy for edge-to-edge repair. The Cardiovalve system enables fully transfemoral transseptal TMVR with a low-profile design, achieving effective MR reduction while minimizing the risk of left ventricular outflow tract obstruction.
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