Transcatheter, transapical mitral valve replacement following mitral valve annuloplasty.

Abstract Mitral regurgitation (MR) recurrence following annuloplasty can lead to high-risk reoperations impacting long-term outcome. Transcatheter, transapical mitral valve replacement (TMVR) is a novel alternative to treat severe MR without the use of cardiopulmonary bypass. We introduce the case of an 80-year old male, who had undergone a mitral annuloplasty in 2006 and now presented with severe recurrent MR. We performed a TMVR using the Tendyne system©, showing that TMVR following annuloplasty can be a safe method, reducing the procedural time and providing an alternative to the MitraClip© in-the-ring and the transcatheter aortic valve in-the-ring concept.