Surgeon Q&A: Transcatheter Mitral Valve-in-Valve Procedures

If you have a failing tissue mitral valve replacement, do you always need another open-heart operation? Or could a less invasive transcatheter “valve-in-valve” procedure provide a new valve without traditional surgery? To answer this important question, HeartValveSurgery.com founder Adam Pick spoke with Dr. Marc Gillinov, Chairman of Cardiac Surgery at the Cleveland Clinic in Cleveland, Ohio. In this educational video, Dr. Gillinov explains why tissue (bioprosthetic) mitral valves wear out over time, how transcatheter valve-in-valve techniques work, and which patients may be candidates for this newer approach. (Video posted on December 5, 2025)