Description of Medical ServicePercutaneous reconstruction of an insufficient mitral valve through tissue approximation using transvenous/transeptal techniques is performed while the heart is beating, which better allows the identification of the origin of mitral regurgitation (MR).
Description of Medical ConditionMR occurs when the leaflets (or flaps) of the heart’s mitral value do not close properly and leak. The mitral valve is a one-way valve that separates the left atrium (a chamber in the heart which collects blood from the lungs) from the left ventricle (a chamber in the heart which pumps blood to the rest of the body). During pumping, the leak in the mitral valve causes blood to flow backwards into the left atrium, thereby decreasing blood flow to the body. To maintain blood flow to the body and compensate for the MR, the left ventricle must pump harder. Back flow due to MR places an extra burden on the left ventricle and lungs. Eventually, this burden can cause other problems such as: stroke, sudden death, irregular heartbeat, increasing damage to the heart muscle (progressive myocardial injury); and/or the inability to maintain adequate circulation of blood (congestive heart failure).
Reason for ApplicationNew MBS item
Medical Service TypeTherapeutic
Previous Application Number1192
PICO ConfirmationPlease see the Final Protocol for MSAC Application 1192
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