Revolution in the heart area: Save minimal interventions in Vienna!

In Wien wurde erstmals ein katheterbasierter Mitralklappenersatz über die Leiste erfolgreich durchgeführt, was für Hochrisiko-Patient:innen eine Revolution darstellt.
In Vienna, a catheter-based mitral valve replacement was successfully carried out over the bar, which is a revolution for high-risk patients: inside. (Symbolbild/MW)

Revolution in the heart area: Save minimal interventions in Vienna!

Wien, Österreich - In Vienna, medicine has taken a significant step forward. On June 18, 2025, the MedUni Vienna and the AKH Vienna for the first time in Austria carried out a fully mitral valve replacement minimally invasively over the bar. This innovative intervention gave two patients: the inside with severe mitral valve insufficiency, including a person with a congenital heart defect and several preliminary operations, the hope of a new quality of life. In the previous medical situation, traditional surgical interventions could not be carried out. The new method means a milestone, especially for high-risk patients: inside, often do not offer a solution for common procedures.

With the purely transfemoral access technique, treatment takes place in two steps: First, a "docking system" is anchored before the new heart valve is introduced via a catheter. This requires a deep understanding of cardiac anatomy as well as careful multidisciplinary planning, which includes the commitment of cardiologists, heart surgeons, anesthetists, radiologists and nurses. Within a few days, both patients could be released in a stable state, which underlines the quick recovery phase. This technology could establish itself as new standard therapy in the long term as soon as current long -term data is analyzed.

a new era in cardiac surgery

The implementation of the mitral valve replacement via the bar not only means progress for cardiac medicine, but also joins the minimally invasive procedures that have become more important in recent years. As the Clinic for Heart and Thoracic Surgery reports in Augsburg, such interventions are considered a gold standard, especially in the case of aortic valve operations, where narrowing of the aortic valve is often the cause of the need for intervention. Here, the aortic valve is replaced minimally invasively to support heart and lung function during the procedure and to minimize the risk.

The choice between mechanical and biological flap prostheses is an important aspect that is individually discussed between the doctors: inside and the patient: inside. Mechanical flaps require a lifelong use of blood thinners, while biological flaps consist of animal tissue require only low dosage of acetylsalicylic acid. For young and sporty active patients: Inside, the horse operation, in which your own pulmonary flap is used, offers an excellent alternative.

consequences of mitral valve insufficiency

A common course of the disease in mitral valve insufficiency are shortness of breath, heart failure and subsequent organ damage. The severity of this disease is often only evident in later stages, which is why early diagnoses and innovative therapy approaches such as the method now carried out in Vienna are of central importance. In many cases, the treatment also requires simultaneous intervention on the tricus pidal flap, which can also be affected by failures.

With this remarkable development, Vienna positions itself as one of the international centers that has extensive experience in minimally invasive catheter -based procedures. It can be expected that the progress in the coming years will not only improve the quality of life of the patient: but also set new standards in cardiac surgery.

For more information on minimally invasive flap operations and the different types of flap prostheses, interested parties can be the pages of the [MedUni Vienna] (https://www.meduniwien.ac.at/web/ueber-uns/2025/news-juni-2025/erstmals-in-katheterbasier-mitrlappen-üeber--leiste-leiste-an-akh-wien-wien-wien-wien-werbreich-- Thorax surgery Augsburg] (https://www.uk-augsburg.de/stäatten/klinik-fuerz-und-thoraxirurgie/herzchirurgie/minimalinvasive-Herzenoperungen-Rekonstructure) and [Heart surgery Cologne] (https://herzchirurgie.uk-koeln.de/feitstände- therapies/minimalinvasiveklappenoperations/) visit.

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OrtWien, Österreich
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