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 delivering a replacement valve to a native mitral valve and securing the replacement valve relative to the native mitral valve annulus, the native mitral valve annulus supporting native leaflets, the method comprising:
delivering a replacement valve mounted on a delivery device to the native mitral valve annulus while the replacement valve is in a radially compacted state, the replacement valve comprising a radially expandable frame and a first plurality of anchors extending from the frame;
positioning the replacement valve so that tips of the first plurality of anchors are on a ventricular side of the native leaflets beyond a location where chordae tendineae connect to free ends of the native leaflets;
releasing at least a portion of the replacement valve from the delivery device to thereby expand the first plurality of anchors radially outwardly; and
engaging tips of the first plurality of anchors with tissue on a ventricular side of the native valve annulus with the first plurality of anchors extending between at least some of the chordae tendineae.
2. The method of claim 1 , further comprising, with tips of the plurality of first anchors engaging tissue on the ventricular side of the native valve annulus, further releasing the replacement valve from the delivery device and expanding the frame to a radially expanded state.
3. The method of claim 2 , wherein further releasing the replacement valve causes a second plurality of anchors extending from the frame to engage tissue on an atrial side of the native valve annulus.
4. The method of claim 1 , wherein tips of the first plurality of anchors engage a ventricular side of the native mitral valve annulus.
5. The method of claim 1 , wherein tips of the first plurality of anchors engage a ventricular side of the native mitral valve annulus and the native valve leaflets.
6. The method of claim 1 , comprising, after releasing at least a portion of the replacement valve from the delivery device, moving the replacement valve toward the native mitral valve so that tips of the plurality of first anchors engage tissue on a ventricular side of the native mitral valve annulus.
7. The method of claim 6 , wherein moving the replacement valve causes the first plurality of anchors to contain the native leaflets.