The U.S. Food and Drug Administration has approved the Carpentier-Edwards mitral PERIMOUNT Pericardial Bioprosthesis, the country's only bovine pericardial tissue heart valve designed specifically for the mitral position. Edwards introduced the Carpentier-Edwards Perimount ® valve for U.S. aortic patients in 1991, and now adds the mitral counterpart, providing a next-generation treatment option for thousands of patients who suffer from advanced mitral heart valve disease.
Surgical implants of the new mitral Perimount ® valve are expected to begin
"Edwards' Perimount ® pericardial valve is the most widely implanted tissue
valve in the world. Now this important pericardial therapy is available to
U.S. mitral valve patients for the first time," said Michael A. Mussallem,
Edwards' chairman and CEO. Mussallem noted that although this therapy is new
to U.S. patients, the Carpentier-Edwards mitral Perimount ® valve has been
implanted in thousands of patients outside of the United States, gaining more
than a decade of proven clinical results. "In published clinical studies, the
Perimount ® valves in both the aortic and mitral positions have shown
outstanding durability and performance," he said.
The valve is also the first biomechanically engineered valve developed specifically for replacement of the human mitral valve. All porcine tissue valves are made from pigs' native aortic valves, whether they are intended to replace a patient's aortic or mitral valve. Porcine valves are not designed for the higher physiological pressures experienced in the human mitral valve, and
long-term durability under these higher pressures has been a critical issue
limiting the use of tissue valves in mitral valve replacement.
Tissue Valves Offer Quality-of-Life Benefits for Patients
Cardiovascular disease is the No. 1 cause of death in the world and among
the top three diseases in terms of healthcare spending in nearly every country
in the world. Each year, an estimated 300,000 people worldwide undergo
open-heart surgery to treat their malfunctioning or diseased heart valves. Of
these surgeries, more than one-third are mitral valve procedures. In many
cases, surgeons choose to replace an affected valve with either a
"bioprosthetic" valve, generally made of animal tissue, or a "prosthetic"
mechanical valve made of metal and carbon. Due to their quality-of-life
benefits and improvements over previously available bioprosthetic valves,
tissue valves are increasingly chosen by clinicians and their patients over
mechanical valves, and are the fastest-growing area of heart valve therapy
products in the United States.
"One of the advantages of tissue valves is that patients do not have to
take blood thinning agents on a long-term basis, as they do with mechanical
valves," said Dr. Lawrence H. Cohn, professor of surgery at Harvard Medical
School and chief of the Division of Cardiac Surgery at Brigham and Women's
Hospital in Boston. "That's a tremendous advantage for a patient's quality of
Recent guidelines published by the American College of Cardiology and the
American Heart Association (AHA) recommend the use of tissue valves in
patients as young as 65 years of age. The AHA also recognizes that
"pericardial bioprostheses may have a lower rate of structural valve
deterioration than porcine bioprostheses."
Edwards' Perimount ® valve was developed by Dr. Alain Carpentier, chairman
of the Department of Cardiovascular Surgery at the Hopital Europeen Georges
Pompidou in Paris, working with bioengineers at Edwards Lifesciences. The
development involved Edwards' proprietary tissue preservation process, a
resilient wireframe stent optimally designed using computer-aided 3-D modeling
techniques, patented technology for tissue selection, and integrated
manufacturing processes that make the valve robust and able to withstand the
increased pressures of the mitral position. The Perimount ® valve's clinical
success is the precisely engineered result of material, design and process --
all optimized for the requirements of the mitral position.
"The reported experience with mitral Perimount ® suggests that we now have a
tissue valve for the mitral position that has excellent durability, similar to
that of the pericardial valve in the aortic position. We've been looking
forward to having this valve in our repertoire for a number of years, and it
is finally here," said Dr. Delos M. Cosgrove, chairman of the Department of
Thoracic and Cardiovascular Surgery at The Cleveland Clinic Foundation.
Edwards is hosting the first-ever Web broadcast of an implantation of its
Perimount ® pericardial valve in the mitral position atwww.perimount.com. The
site provides details about the product and webcast, which also will feature
commentary from renowned surgeons regarding the impact of this new option on
valve selection, a review of long-term clinical data and a patient's
perspective on his Perimount ® heart valve.
Additional information about Edwards Lifesciences can be found at