Heart valve replacements were conventionally done through open-heart surgery. But TMVR is giving new hope to patients with mitral valve disease. The disease may be caused either due to mitral valve stenosis or mitral valve regurgitation. In the former, the mitral valve narrows and obstructs the blood flow while in the latter, the valve allows blood to leak in both directions inside the heart. Mitral valve replacement is commonly performed to treat these conditions. The procedure requires the placement of a heart valve. It can be either a tissue heart valve or a metallic heart valve. They both offer different benefits. However, tissue heart valves are preferred for older patients as they require blood thinner medication for a shorter period of time. However, tissue prosthetic valves can degenerate over time and not work properly. Traditionally, the management of such a case would require second open-heart surgery to replace the tissue heart valve. However, this increases the patient’s risk of complications. Transcatheter mitral valve replacement resolves the issue as it is a minimally invasive procedure that provides maximized benefits with minimal risk. It is a percutaneous procedure that helps to accomplish TMVI valve-in-valve procedure with reduced complications. The procedure takes only an hour, and the patient can be discharged in 2-3 days. Medical technology has come a long way, and Yashoda Hospitals is keeping up!

1. Transcatheter Mitral Valve
Replacement (TMVR)

2. Transcatheter Mitral Valve Replacement (TMVR)
TMVR is a non-surgical,
minimally invasive
procedure done to replace
dysfunctional mitral
valve.

3. What Are The Indications Of TMVR?
Any mitral valve disease
or mitral insufficiency in
which dysfunctional mitral valve
allows blood to flow backward
into the left atrium

4. Mitral valve stenosis
Types Of Mitral Valve Diseases

5. Mitral valve prolapse
Types Of Mitral Valve Diseases

6. Mitral valve regurgitation
Types Of Mitral Valve Diseases

7. Mitral Valve Disease Or Mitral Insufficiency
Mitral insufficiency may lead to
• Irregular heart rhythm
• High blood pressure
• Blood clots
• Heart failure
• Stroke
Thus, replacing the dysfunctional mitral valve is beneficial.

8. Who Are The Candidates For TMVR?
Patients who:
• cannot undergo open-heart
surgery.
• experience mitral stenosis or
mitral regurgitation in a
previously replaced valve.

9. How Is The Procedure Done?
A small incision is made in
the groin region and an
opening created in the
femoral vein.

10. A catheter (a thin, hollow
tube) is guided slowly
towards the left atrium
(upper chamber of the
heart), via a transseptal
puncture.
How Is The Procedure Done?

11. Transcatheter heart valve is
advanced through the
catheter and positioned
along the mitral valve.
How Is The Procedure Done?

12. Benefits Of TMVR
No need of surgery Shorter hospital stay
(2.9 days on average)
Immediate reduction in
blood flowback
Lesser hospital visits
for heart failure
Lifelong anticoagulant medicine
may not be necessary