Mayra Guerrero

Interventional cardiologist / Cardiologist
Mayo Clinic Hospital Saint Marys Campus - Rochester, United States of America

Latest contributions

When mitral disease is not the only problem on mitral TEER patients

22 May 2025 – From EuroPCR 2025

Explore the multifaceted challenges in patients undergoing mitral TEER when additional mitral and tricuspid pathologies coexist. This session reviews data from the EXPANDed studies on tricuspid regurgitation post-mitral TEER, one-year outcomes based on cardiac damage extent, pulmonary hypertension dynamics, and the long-term mortality causes in this...

When mitral disease is not the only problem on mitral TEER patients

Unconventional situations and complications during cardiovascular interventions

21 May 2025 – From EuroPCR 2025

Explore this session to gain expert tips and practical strategies for managing unexpected complications during cardiovascular interventions. Learn how to anticipate and avoid complications in conventional procedures and discover different approaches to tackle challenging situations in the cathlab through detailed case discussions involving PCI, TAVI, and...

Unconventional situations and complications during cardiovascular interventions

Updates in transcatheter MVR

21 May 2025 – From EuroPCR 2025

This session provides a detailed overview of recent advances in transcatheter mitral valve replacement (TMVR). Examine outcomes from next-generation transcatheter heart valves, long-term clinical data from mitral valve-in-valve and valve-in-ring procedures, and explore innovative approaches including transseptal MVR with insights from global studies.

Updates in transcatheter MVR

Tailoring transcatheter mitral therapies: a new era

20 May 2025 – From EuroPCR 2025

This session focuses on the evolving landscape of transcatheter mitral valve therapies. Learn about strategic programme development, patient phenotyping to guide device selection and repair versus replacement decisions, and the latest innovations and approvals in transcatheter mitral valve replacement.

Tailoring transcatheter mitral therapies: a new era

TMVR in challenging scenarios

20 May 2025 – From EuroPCR 2025

Navigate the challenges of transcatheter mitral valve replacement (TMVR) in complex clinical scenarios. This session explores treatment options when clipping is not feasible in a patient with heart failure and severe MR, management of multivalvular disease, advanced septal crossing techniques, and strategies for non-surgical candidates ineligible...

TMVR in challenging scenarios

How to tailor transcatheter mitral therapies in 2025? A new era

20 May 2025 – From EuroPCR 2025

In this discussion from EuroPCR 2025, Mayra Guerrero, Thomas Modine, and Philipp Lurz explore the evolving landscape of mitral valve treatment.

While transcatheter edge-to-edge repair (TEER) remains a safe and effective approach, it doesn't suit every patient. Alternatives like transcatheter mitral valve replacement (TMVR), annuloplasty, and NeoChord implantation...

How to tailor transcatheter mitral therapies in 2025? A new era

Transcatheter mitral intervention for failed surgical valves and rings - The toolkit

26 Nov 2024 – From PCR London Valves 2024

Looking to enhance your approach to failed surgical mitral valves and rings? This video is a must-watch!

You’ll explore patient selection, master the steps of mitral valve-in-valve and valve-in-ring procedures, and learn strategies like valve cracking and LAMPOON to overcome key challenges. 

Transcatheter mitral intervention for failed surgical valves and rings - The toolkit

Early detection and treatment of aortic stenosis

25 Nov 2024 – From PCR London Valves 2024

Want to learn about the latest advancements in the early detection and treatment of aortic stenosis?  Mayra Guerrero and Philippe Genereux  discuss the benefits of early intervention (even in asymptomatic patients), the optimal timing for treatment and explore how artificial intelligence can enhance diagnosis, particularly in...

Early detection and treatment of aortic stenosis

Early diagnosis and lifetime management of valvular heart disease: new tools and treatment paradigms

25 Nov 2024 – From PCR London Valves 2024

What if we could detect and treat progressive heart valve disease before it worsens? Dives into the latest breakthroughs with this video, showcasing how emerging technologies and innovative strategies are transforming patient outcomes.

Gain insights from the RECOVERY, AVATAR, EVOLVED and EARLY TAVR trials, and discover how AI,...

Early diagnosis and lifetime management of valvular heart disease: new tools and treatment paradigms

Electrosurgery and leaflet modification: addressing an unmet need for transcatheter valve interventions

24 Nov 2024 – From PCR London Valves 2024

Electrosurgery and leaflet modification are revolutionizing transcatheter valve interventions, addressing unmet needs for patients who lack conventional treatment options. This video offers a deep dive into the clinical applications of these advanced techniques and equips you with the knowledge to implement them effectively.

You’ll discover:

  • How electrosurgical tools,...
Electrosurgery and leaflet modification: addressing an unmet need for transcatheter valve interventions

Featured cases - Mitral valve-in-valve (Part 1)

24 Nov 2024 – From PCR London Valves 2024

Immerse yourself in a collection of captivating clinical cases focused on mitral valve-in-valve procedures. Learn from experienced practitioners as they share their approaches to addressing complex challenges, such as paravalvular leaks, difficult anatomies, and innovative techniques.

Featured cases - Mitral valve-in-valve (Part 1)

Breaking new ground in mitral valve interventions

24 Nov 2024 – From PCR London Valves 2024

What’s shaping the future of mitral valve therapies? This video from PCR London Valves 2024 unveils groundbreaking late-breaking trials that redefine the possibilities in mitral interventions.

You'll explore real-world insights from the OCEAN-Mitral registry on the MitraClip G4, uncover the link between tricuspid regurgitation and 3-year mortality...

Breaking new ground in mitral valve interventions

Edge-to-edge repair for primary mitral regurgitation: the good, the bad and the ugly

16 May 2024 – From EuroPCR 2024

Discover how to select suitable patients for TEER of primary mitral regurgitation, tackle anatomical challenges, understand the technique's limits, and gain insights into managing complexities and identifying cases where TEER may not be ideal.

Edge-to-edge repair for primary mitral regurgitation: the good, the bad and the ugly

TEER for primary mitral regurgitation - LIVE case

15 May 2024 – From EuroPCR 2024

A 76-year-old male, with previous CABG in 2015, hypertension, diabetes, and pulmonary hypertension (WHO2), presented with severe symptomatic primary MR (P3 flail).
The operators implanted 1 MitraClip (XTW) step-by-step, from the transseptal puncture to the closure, guided by TEE echo and under general anaesthesia, via the venous...

Mitral TEER

Mitral valve intervention in complex scenarios - Valve-in-valve, valve-in-ring, valve-in-MAC

21 Nov 2023 – From PCR London Valves 2023

What role does imaging play in complex mitral interventions such as valve-in-valve, valve-in-ring or valve-in-MAC? Study how CT-scan, fusion imaging, TEE and TOE are used throughout the procedures and analyse the latest trial results on the subject to get an idea.

Mitral valve intervention in complex scenarios - Valve-in-valve, valve-in-ring, valve-in-MAC

Complex mitral interventions

19 Nov 2023 – From PCR London Valves 2023

What are the one-year outcomes of transfemoral TMVR? How does TMVI compare with SMVR in elderly patients at intermediate risk? What is the value of mitral ViV and mitral valve-in-ring in high-surgical-risk patients? Find the answers here!

Complex mitral interventions

EuroPCR 2023 Hotlines/Late-Breaking Trials: mitral and tricuspid valves disease

17 May 2023 – From EuroPCR 2023

The presenters share their views on a range of essays and studies. Join them for an update on: Early experience with a d-shape, monoleaflet TMVR system; Outcomes of Mitral Valve-in-Valve, Mitral Valve-in-Ring and Valve-in-Mitral Annular; Calcification: prospective MITRAL; DRAGONFLY-DMR: transcatheter repair by DragonFly device in mitral...

Transcatheter mitral valve therapies beyond TEER

17 May 2023 – From EuroPCR 2023

Take a ride into the realm of transcatheter mitral valve therapy, going beyond the limits of TEER. Discover the captivating complexities and innovative strategies in this dynamic field, starting with a compelling initial case: transcatheter mitral valve replacement (TMVR) utilizing a semi-rigid flexible three-dimensional annuloplasty ring.

Transcatheter mitral valve therapies

TAVI in patients with long-life expectancy - LIVE case

16 May 2023 – From EuroPCR 2023

Watch the case of a 75-year-old male patient with history of TIA, symptomatic severe aortic stenosis with RBBB, and preserved LV function. The heart team's decision was to perform TAVI with PCI on LAD a few days before procedure.

First, a cerebral protection device (Sentinel) was implanted....

TAVI in patients with long-life expectancy

Complex scenarios during mitral valve-in-valve, valve-in-ring or valve-in-MAC procedures - a case-based approach

29 Nov 2022 – From PCR London Valves 2022

Discover some complex scenarios during mitral valve-in-valve, valve-in-ring or valve-in-MAC procedures with these presentations, and learn more about the essential role of TOE and CT imaging in predicting procedural complexity, the pre-emptive techniques and strategies to avoid left ventricular outflow tract obstruction as well as the bailout emergency techniques when...

Complex scenarios during mitral valve-in-valve, valve-in-ring or valve-in-MAC procedures - a case-based approach

All you need to know before starting a mitral valve-in-valve or valve-in-ring procedure

29 Nov 2022 – From PCR London Valves 2022

Discover all you need to know before starting a mitral valve-in-valve or valve-in-ring procedure in this session: learn how to evaluate patients with an indication for these procedures, how to identify the risks  and determine the choice of prosthesis, the different steps of the procedure using a transseptal approach, and...

All you need to know before starting a mitral valve-in-valve or valve-in-ring procedure

Mitral annular calcification - From diagnosis to treatment

29 Nov 2022 – From PCR London Valves 2022

Focus on mitral annular calcification: from diagnosis to treatment, learn more about the prevalence and clinical importance of MAC, understand the challenges of different therapeutic approaches and discover the current results and perspectives on transcatheter mitral valve implantation in patients with MAC.

Mitral annular calcification - From diagnosis to treatment

Transcatheter primary mitral regurgitation repair and tricuspid replacement - LIVE case

28 Nov 2022 – From PCR London Valves 2022

  • Part 1: Primary MR repair (recorded case)
    An 89-year-old male with atrial fibrillation, severe primary MR (prolapse A1-A2) with a preserved LV function. The operators implant 1 Pascal ACE, on general anaesthesia, guided by TEE.
  • Part 2: Tricuspid valve in valve (Live case)
    A 52-year-old female, with diabetes and...
Transcatheter intervention for mitral and tricuspid valve disease: state of the art

Challenging scenarios: bicuspid aortic valves

28 Nov 2022 – From PCR London Valves 2022

Consult this session to learn more about the variety of bicuspid aortic valve phenotypes and their impact on procedural outcomes, the pre-procedural planning and optimal procedural technique in this challenging patient cohort, as well as the key considerations for TAVI in younger patients with a bicuspid aortic valve.

Challenging scenarios: bicuspid aortic valves

Transcatheter mitral valve intervention is progressing more slowly than expected: why is it happening? And what can we do? Root causes, challenges and opportunities

28 Nov 2022 – From PCR London Valves 2022

Consult this session to learn about the latest news in the field of mitral valve intervention and get insights into its current slow progress, which may be caused by clinical, anatomical or technological factors.

Transcatheter mitral valve intervention is progressing more slowly than expected: why is it happening? And what can we do? Root causes, challenges and opportunities

Mitral valve disease: diagnosis and treatment selection

23 Nov 2021 – From PCR London Valves 2021

In the first part of this PCR London Valves 2021 session, review the quantification of mitral regurgitation and learn how to better approach patients. Then, in the second part, study patient selection for specific types of procedures.

Mitral valve disease: diagnosis and treatment selection

Transcatheter mitral valve repair and replacement: optimal technique and procedural refinement

23 Nov 2021 – From PCR London Valves 2021

This PCR London Valves 2021 interactive learning session is designed to review the basics but also the more advanced and complex procedural steps of transcatheter mitral edge-to-edge repair, as this procedure requires a rigorous and standardized technique that can take time to learn.

Transcatheter mitral valve repair and replacement: optimal technique and procedural refinement

Transcatheter mitral edge-to-edge repair: procedural complications and lifetime management

23 Nov 2021 – From PCR London Valves 2021

This PCR London Valves 2021 session presents different kinds of complications in mitral procedures based on clinical cases: discuss the case of an 82-year-old male patient with symptomatic severe ischemic secondary mitral regurgitation, coronary artery disease, diabetes, and chronic kidney disease, among others!

Transcatheter mitral edge-to-edge repair: procedural complications and lifetime management

Transcatheter tricuspid valve interventions: prevention of complications and their management

22 Nov 2021 – From PCR London Valves 2021

Watch this session from PCR London Valves 2021 if you want to find out more about the complications you may encounter during transcatheter tricuspid valve procedures, learn more about how to schedule and prepare for these interventions to avoid complications, and get more tips and tricks...

Transcatheter tricuspid valve interventions: prevention of complications and their management

Innovations in surgical and transcatheter mitral valve intervention

23 Nov 2020 – From PCR Valves e-Course 2020

Watch this session if you want to hear more about the latest advances in surgical and transcatheter approaches to mitral valve disease and to appreciate the anatomical, clinical and engineering challenges associated with future development.

This session was originally presented during PCR Valves e-Course 2020.

Innovations in surgical and transcatheter mitral valve intervention