Clinical Research Directory

Inclusion Criteria: 1. 18 years or older at the time of informed consent 2. Has a dysfunctional native or prosthetic mitral valve and requires mitral valve replacement surgery 3. Provide signed written informed consent prior to the study participation 4. Willingness to follow protocol requirements Exclusion Criteria: 1. Active endocarditis 3 months prior to the procedure 2. Stage 4 renal disease or requiring dialysis (eGFR \< 30 is excluded) 3. Less than 2-year life expectancy due to non-cardiovascular life-threatening disease 4. High predicted risk of mortality prior to procedure - STS Predicted Risk of Mortality (PROM) \> 8 or Surgeon estimated risk of mortality of \> 8 (STS PROM risk calculation score must be used for patients undergoing Isolated Mitral Valve Replacement (MVR) or MVR+ Coronary Artery Bypass Grafting (CABG). Surgeon estimated risk of mortality may only be used for patients who do not qualify for evaluation against those surgical models.) 5. Participating in a drug or device study that has not reached its primary endpoint. Note: Participation in national registries is not an exclusion.