Method for implanting a prosthetic mitral valve
Embodiments of a method for implanting a prosthetic valve at the native mitral valve region of the heart, the prosthetic valve including a main body that is radially compressible to a radially compressed state and self-expandable from the compressed state to a radially expanded state. The prosthetic apparatus also comprises at least one ventricular anchor coupled to the main body and disposed outside of the main body with a leaflet-receiving space between the anchor and an outer surface of the main body to receive a native valve leaflet. Apparatus for delivering and implanting the prosthetic valve are also described.
1. A method of implanting a prosthetic heart valve at the native mitral valve region of a heart, the native mitral valve having a native mitral valve orifice and native mitral valve leaflets, the method comprising:
positioning a docking frame within the native mitral valve orifice such that the docking frame is secured to the native mitral valve leaflets, wherein positioning the docking frame within the native mitral valve orifice comprises positioning a first ventricular anchor behind the anterior native mitral valve leaflet and positioning a second ventricular anchor behind the posterior native mitral valve leaflet; and then
securing a prosthetic valve within the docking frame.
2. The method of claim 1 , wherein positioning the docking frame within the native mitral valve orifice comprises delivering the docking frame into the mitral valve orifice in a radially compressed state and allowing the docking frame to self-expand to a radially expanded state contacting inner surfaces of the native mitral valve leaflets.
3. The method of claim 1 , wherein the docking frame comprises an annular main body that comprises a lumen for receiving the prosthetic valve.
4. The method of claim 1 , wherein the anterior native mitral valve leaflet is compressed between the first ventricular anchor and an outer surface of a main body of the docking frame, and the posterior native mitral valve leaflet is compressed between the second ventricular anchor and an outer surface of the main body of the docking frame.
5. The method of claim 1 , wherein securing a prosthetic valve within the docking frame comprises delivering the prosthetic valve in a radially compressed state into a lumen formed within the docking frame, and allowing the prosthetic valve to self-expand to a radially expanded state contacting inner surfaces of the docking frame.
6. The method of claim 1 , wherein securing a prosthetic valve within the docking frame comprises delivering the prosthetic valve in a radially compressed state into a lumen formed within the docking frame, and causing the prosthetic valve to expand to a radially expanded state contacting inner surfaces of the docking frame.
7. The method of claim 1 , wherein the prosthetic valve comprises a radially compressible and expandable frame configured to engage with the inside of the docking frame.
8. The method of claim 1 , wherein the prosthetic valve is secured within the docking frame via friction.
9. The method of claim 1 , wherein the prosthetic valve is secured within the docking frame via a mechanical locking feature.
10. The method of claim 1 , wherein the prosthetic valve comprises an atrial anchor that is positioned within the left atrium so as to engage an atrial surface of the native mitral valve when the prosthetic valve is secured within the docking frame.
11. A method of implanting a prosthetic heart valve at the native mitral valve region of a heart, the native mitral valve having a native mitral valve orifice and native mitral valve leaflets, the method comprising:
implanting a radially expandable docking frame within the native mitral valve orifice, the docking frame comprising an annular body defining an inner lumen and ventricular anchors positioned behind the native mitral valve leaflets; and then
securing a radially expandable prosthetic valve within the docking frame.
12. The method of claim 11 , wherein implanting the docking frame within the native mitral valve orifice comprises delivering the docking frame into the mitral valve orifice in a radially compressed state and allowing the docking frame to self-expand to a radially expanded state contacting inner surfaces of the native mitral valve leaflets.
13. The method of claim 11 , wherein implanting the docking frame within the native mitral valve orifice comprises positioning a first ventricular anchor behind the anterior native mitral valve leaflet and positioning a second ventricular anchor behind the posterior native mitral valve leaflet.
14. The method of claim 11 , wherein securing a prosthetic valve within the docking frame comprises delivering the prosthetic valve in a radially compressed state into the inner lumen of the annular body of the docking frame, and allowing the prosthetic valve to self-expand to a radially expanded state contacting inner surfaces of the annular body of the docking frame.
15. The method of claim 11 , wherein the prosthetic valve comprises a radially compressible and expandable frame configured to engage with the annular body of the docking frame.