Transcatheter Mitral Valve Repair

Low-Risk Heart Valve Repair Improves Heart Function

Transcatheter mitral valve repair with the MitraClip® device is a minimally invasive procedure that places a small clip on the mitral valve in the heart to improve blood flow.

Your mitral valve opens to allow blood from your left atrium (upper chamber of your heart) into your left ventricle (lower pumping chamber) and closes when the ventricle squeezes to prevent the blood from moving backward. If the leaflets that form the valve aren’t closing properly, blood can leak back into your left atrium and make your heart work harder. This is called mitral regurgitation. The condition can worsen and cause an enlarged heart, heart failure, or heart rhythm problems. 

For people who aren’t able to have open-heart surgery, this minimally invasive procedure can provide an effective solution to fix a mitral valve that isn’t working well. Doctors place the MitraClip device on a tube called a catheter and insert it in a vein in the groin area. The catheter is advanced through blood vessels to the site of the failing heart valve. Using X-ray and cardiac ultrasound equipment, doctors attach a MitraClip to the valve to prevent leakage back into the left atrium. 

People who have a valve repair using MitraClip typically have improved quality of life and fewer visits to the hospital for heart failure treatment.

In appropriate cases, this technology can also be used to treat another heart valve, the tricuspid valve.

X-ray video of deployment of a percutaneous heart valve to treat leakage of an artificial mitral valve. The new percutaneous valve is inserted into the body using a leg vein and is expanded inside the old prosthetic valve by inflating a balloon.

 

Is Transcatheter Mitral Valve Repair Right for You? 

If you have severe mitral valve regurgitation because your mitral valve isn’t closing completely, your doctor may recommend transcatheter valve repair. The procedure is ideal for people whose health won’t permit open-heart surgery.

Symptoms of Mitral Valve Regurgitation Include:

  • Fatigue
  • Shortness of breath
  • Heart murmur
  • Rapid or fluttering heartbeats
  • Swelling in your ankles or feet

In some cases, you may not have symptoms, but a repair may prevent the condition from worsening or relieve the workload on your heart. 

Why Choose University of Iowa for Your Heart Valve Care

The University of Iowa Heart and Vascular Center offers the most comprehensive transcatheter valve program in the entire state of Iowa and western Illinois. Our team of interventional cardiologists, cardiac surgeons, and imaging specialists knows that people with heart valve conditions have unique problems that require a treatment plan tailored to their individual needs.  We provide a thorough medical assessment and a full range of catheter-based and surgical options for our patients who require valve replacement. 

Our board-certified physicians have fellowship training and special expertise in catheter-based valve procedures, and people come from across Iowa and the Midwest to receive care for the most complex heart valve problems. Our patients benefit from our experience and our excellent outcomes.

Experience Does Matter.

We are the most experienced transcatheter valve program in Iowa and have performed the most Mitraclip transcatheter mitral valve repairs in the state. We are one of the only centers in Iowa performing this procedure.

Greater Experience Translates to Better Outcomes.

The experience we’ve gained from our high volume of transcatheter mitral valve procedures has helped us to achieve a high procedural success rate.

We are National Leaders in Cardiac Valve Care.

We were the first program in the nation to receive certification as a Heart Valve Center of Excellence from The Joint Commission, the accrediting agency for health care organizations in the United States.

All of our Specialists are University of Iowa Physician Faculty.

Our patient care benefits directly from access to the latest medical procedures and technology, as well as from our participation in cutting-edge national and international research.