Cor Vasa 2026, 68(3):286-294
Midterm Evaluation of Results After Meril Myval Transcatheter Aortic Valve Replacement: One-Year Clinical and Echocardiographic Findings from the MERAM Registry
- Department of Cardiology, Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey
Background: The Myval™ transcatheter heart valve is a next-generation, balloon-expandable transcatheter aortic valve replacement (TAVR) system designed for precise implantation and improved clinical outcomes. This study presents our experience with the first 101 cases (2022-2024), evaluating 30-day and one-year outcomes.
Aim: To assess the safety and efficacy of the Myval™ TAVR system in patients with degenerative aortic stenosis (AS).
Materials and methods: This single-center observational study included 101 consecutive patients with AS who underwent TAVR with Myval™ between January 2022 and January 2024. The mean age was 76.9 ± 7.0 years, and 60 (59.4%) were females. The mean EuroSCORE II and STS score were 4.85 ± 3.91 and 5.84 ± 4.82, respectively. All procedures were performed via the femoral approach. Patients underwent echocardiographic follow-up at one month and clinical follow-up at one year.
Results: The procedural success rate was 100% (101/101). The mean hospital stay was 5.8 ± 2.4 days. Within 30 days, stroke occurred in 1.98% (2/101) of cases, and 15.8% (16/101) required new permanent pacemaker implantation. At discharge, mild aortic regurgitation was observed in 10.9% (11/101) and moderate regurgitation in 1.9% (2/101), with no significant paravalvular leak. Intrahospital mortality was 2% (2/101), while one-year all-cause mortality was 6% (6/101).
Conclusion: TAVR with the Myval™ transcatheter heart valve system demonstrates excellent 30-day and one-year outcomes regarding survival, procedural success, and valve-related adverse events, supporting its safety and efficacy in treating degenerative AS.
Keywords: Aortic valve disease, Balloon-expandable valve, Degenerative aortic stenosis, Myval™ transcatheter heart valve, Transcatheter aortic valve replacement
Received: November 4, 2025; Revised: November 5, 2025; Accepted: December 18, 2025; Prepublished online: June 2, 2012; Published: July 1, 2026 Show citation
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