Saddle-shaped mitral valve annuloplasty prostheses with asymmetry, and related methods
View Patent ↗A mitral valve annuloplasty prosthesis (ring or C) has a generally saddle shape, i.e., portions of the prosthesis that are or will be adjacent the anterior and posterior commissures of the valve are relatively low as compared to at least some other portions of the prosthesis that are or will be between the commissures. However, the saddle shape is asymmetrical, in that the portion that is or will be adjacent the posterior commissure is lower than the portion that is or will be adjacent the anterior commissure.
1. A method of treating a patient's mitral valve comprising:
applying an annuloplasty prosthesis to the mitral valve adjacent the annulus of the mitral valve, the mitral valve including anterior and posterior valve commissures at which a first native valve leaflet and a second native valve leaflet are attached, the annuloplasty prosthesis dipping down adjacent the anterior and posterior valve commissures relative to at least some other portions of the annulus between the commissures, the annuloplasty prosthesis pushing down the portion of the annulus that is adjacent to the posterior commissure farther than the prosthesis dips down adjacent the anterior commissure such that the effect of the prosthesis along the first native valve leaflet and the second native valve leaflet is asymmetrical.
2. The method defined in claim 1 wherein the prosthesis comprises a complete ring.
3. The method defined in claim 2 , wherein the mitral valve includes an anterior portion including A 1 , A 2 , and A 3 segments along an edge of the first native valve leaflet adjacent the annulus between the anterior and posterior valve commissures and wherein the mitral valve includes a posterior portion including P 1 , P 2 , and P 3 segments along an edge of the second native valve leaflet adjacent the annulus between the anterior and posterior valve commissures, the segments being connected in the order A 1 , A 2 , A 3 , P 3 , P 2 , and P 1 , such that the A 1 and P 1 segments meet and the A 3 and P 3 segments meet, and the method further comprising applying the ring such that the ring dips down adjacent at least a portion of each of the A 1 , A 3 , P 1 , and P 3 segments of the valve leaflets relative to said portion of the annulus that is adjacent the A 2 segment and said portion of the annulus that is adjacent the P 2 segment.
4. The method defined in claim 1 wherein the mitral valve includes an anterior portion including A 1 , A 2 , and A 3 segments along an edge of the first native valve leaflet adjacent the annulus between the anterior and posterior valve commissures and wherein the mitral valve includes a posterior portion including P 1 , P 2 , and P 3 segments along an edge of the second native valve leaflet adjacent the annulus between the anterior and posterior valve commissures, the segments being connected in the order A 1 , A 2 , A 3 , P 3 , P 2 , and P 1 , such that the A 1 and P 1 segments meet and the A 3 and P 3 segments meet, the annuloplasty prosthesis having corresponding A 1 , A 2 , A 3 , P 3 , P 2 , and P 1 segments being adapted for attachment to the annulus of a patient's mitral valve adjacent respective A 1 , A 2 , A 3 , P 3 , P 2 , and P 1 leaflet portions of the mitral valve, such that the A 1 and P 1 segments of the annuloplasty prosthesis meet directly adjacent to the anterior commissure of the mitral valve and the A 3 and P 3 segments meet directly adjacent to the posterior commissure of the mitral valve when the annuloplasty prosthesis is attached to the annulus of the patient's mitral valve.
5. The method defined in claim 1 , the mitral valve includes an anterior portion comprising A 1 , A 2 , and A 3 segments along an edge of the first native valve leaflet adjacent the annulus between the anterior and posterior valve commissures and wherein the mitral valve includes a posterior portion including P 1 , P 2 , and P 3 segments along an edge of the second native valve leaflet adjacent the annulus between the anterior and posterior valve commissures, the segments being connected in the order A 1 , A 2 , A 3 , P 3 , P 2 , and P 1 , such that the A 1 and P 1 segments meet and the A 3 and P 3 segments meet, and wherein the prosthesis is a C-shaped prosthesis having a gap adjacent at least a portion of the A 2 segment.