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Transcatheter mitral valve repair (TMVR) is a minimally invasive technique for patients with mitral regurgitation (MR). MR is when your mitral valve doesn’t close properly. Blood flows backward from the left ventricle to the left atrium and eventually the lungs.
The MitraClip™ is a transcatheter technology that involves suturing together the mitral valve leaflets. This allows for blood to flow in the right direction. Although a MitralClip™ rarely eliminates MR, patients often feel better a few days after the procedure is performed.
Unlike surgery, the MitraClip™ procedure does not require opening the chest and temporarily stopping the heart. The clip is smaller than a dime and can be placed through a catheter-based procedure.
Presbyterian Heart and Vascular Care has a team of highly-skilled surgeons who are using some of the most advanced techniques to perform this procedure. These techniques can improve recovery time, reduce complications and provide a quicker return to work and other daily activities.
Patients who are eligible for the procedure are:
Common tests to diagnose MR include:
MR is often mild and progresses slowly. You may have no symptoms for many years.
Your doctor might first suspect you have MR if they hear a heart murmur. Sometimes, however, the problem develops quickly, and you may experience a sudden onset of severe signs and symptoms. MR can lead to symptoms of:
In the days before your procedure, it is important that you:
In this procedure, the doctor will insert a thin tube (catheter) through a vein, usually in your groin, and guide the MitralClip™ device, a small metal clip coated in polyester fabric, to your mitral valve. The clip is attached to two areas of the defective valve. Doctors use the clip to reshape the valve.
The MitralClip™ procedure is usually scheduled and performed in an outpatient setting. The entire procedure usually lasts between one to three hours.
Most people experience immediate relief of their MR symptoms after the procedure. Some patients can go home after a few hours of monitoring, while others may have to stay a day or two.
After being discharged from the hospital, it is important that you:
If there are no complications and your work does not require strenuous activity, you can usually return within 72 hours of surgery. You may be asked to follow up with your cardiologist or a primary care professional a week after surgery, but if your MR symptoms return before then, or at any point, notify a healthcare professional immediately.