Transcatheter mitral valve replacement - LIVE case

A 65‑year‑old woman with obesity (BMI 38.7), prior cardiac surgery (CABG to OM and LAD in 2012), and chronic kidney disease presented with symptomatic severe mitral regurgitation (Carpentier type III: type IIIa due to calcification and type IIIb post‑MI) with moderately reduced LVEF (45%).

A transcatheter mitral valve implantation was performed using a 29 mm Sapien M3 valve deployed on an implantable dock, under fluoroscopic and transesophageal echocardiography (TEE) guidance and general anesthesia.

LIVE Educational Case from University Medical Centre - Mainz, Germany

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Key moments

• 15:27 - 17:30 - Procedural strategy and valve description
• 27:11 - 43:45 - Dock deployment
• 44:40 - 51:17 - Procedural analysis
• 51:24 - 01:01:42 - Simulation
• 01:06:48-01:13:30 - Valve deployment

Keywords: Mitral regurgitation, Sapien M3, mitral valve replacement