METHOD FOR REPLACING MITRAL VALVE

摘要

A method of implanting a prosthetic mitral valve assembly using a transapical procedure is disclosed. An incision is formed in the chest in the apex of the patient's heart. A delivery catheter containing the prosthetic mitral valve assembly is advanced over a guidewire into the patient's heart. The prosthetic mitral valve assembly is deployed from the delivery catheter into the native mitral valve. The prosthetic mitral valve assembly comprises a stent having a lower portion for placement between the leaflets of a native mitral valve and an upper portion having a flared end for placement above the annulus. The prosthetic mitral valve includes a valve portion having leaflets formed of pericardial tissue. A plurality of upwardly bent prongs are provided along an outer surface of the stent for preventing upward migration of the prosthetic mitral valve assembly after deployment.

主权项

1. A prosthetic mitral valve assembly, comprising:
a radially-expandable stent including a lower portion sized to held between leaflets of a native mitral valve and an upper portion having a flared end, the upper portion sized for deployment within the annulus of the mitral valve with a pressure fit, the flared end configured to extend above the annulus, the stent comprising a tubular portion, wherein the tubular portion of the stent tapers from the upper portion to the lower portion with a reduced diameter, the stent having a substantially D-shape cross-section for conforming to the native mitral valve, the D-shape cross-section providing a substantially straight portion configured to extend along an anterior side of the native mitral valve and a substantially curved portion configured to extend along a posterior side of the native mitral valve; and a valve portion formed of pericardial tissue and mounted within an interior portion of the stent, the valve portion having leaflets for occluding blood flow in one direction and replacing the function of the native mitral valve.