Apparatus for treating a mitral valve
Embodiments of an apparatus for treating a deficient mitral valve include an expandable spacer configured for placement between the native leaflets of the mitral valve, the spacer anchorable to a wall of the ventricle. Methods and apparatus for delivering and implanting the prosthetic are also described.
1. A method of implanting a prosthetic spacer at the native mitral valve region of the heart, the native mitral valve having anterior and posterior native valve leaflets, the method comprising:
positioning a blood-impermeable spacer body of the prosthetic spacer in a radially compressed state between the anterior and posterior native valve leaflets;
positioning a first ventricular anchor of the prosthetic spacer behind the posterior native valve leaflet;
positioning a second ventricular anchor of the prosthetic spacer behind the anterior native valve leaflet; and
allowing the spacer body to self-expand from the radially compressed state to a radially expanded state contacting inner surfaces of the anterior and posterior native valve leaflets.
2. The method of claim 1 , wherein positioning the first ventricular anchor comprises positioning the first ventricular anchor behind the A 2 region of the anterior native valve leaflet at a location free of chordae tendineae, and positioning the second ventricular anchor comprises positioning the second ventricular anchor behind the P 2 region of the posterior native valve leaflet at a location free of chordae tendineae.
3. The method of claim 1 , wherein prior to positioning the first and second ventricular anchors behind the native valve leaflets, the first and second ventricular anchors are expanded away from the main body while the main body is retained in a radially compressed state.
4. The method of claim 1 , wherein at least one of the ventricular anchors extends in a ventricular direction from adjacent the spacer body and then curves to extend in an atrial direction toward a location behind the native valve leaflet.
5. The method of claim 4 , wherein the at least one ventricular anchor extends beyond a ventricular end of the spacer body.
6. The method of claim 1 , wherein at least one of the ventricular anchors is attached to the spacer body with one or more sleeves.
7. The method of claim 6 , wherein the at least one ventricular anchor comprises a wire loop having first and second attachment ends, the spacer body has first and second prongs adjacent a ventricular end of the spacer body, a first sleeve secures the first attachment end to the first prong, and a second sleeve secures the second attachment end to the second prong.
8. The method of claim 6 , wherein the one or more sleeves are crimped around a portion of the at least one ventricular anchor and a portion of the spacer body to secure them together.