Details.
A procedure for high surgical risk patients with symptomatic valve deterioration after tissue mitral valve replacement. Access may be through the blood vessels of the groin or through the chest, avoiding open-chest surgery, heart stoppage, and bypass. The structural heart team evaluates suitability using investigations such as cardiac CT and echocardiography, coordinates with the patient, family, and referring physician, and monitors patients closely after the procedure. A comprehensive echocardiogram is performed within 24 hours to assess the new mitral valve and check for complications.