Systems and methods for cardiac remodeling

Abstract

Described herein are devices and methods for improving the hemodynamic function of a patient. In particular, a first device adapted to reshape an atrio-ventricular valve is used in combination with a second device configured to further alter the blood flow through the valve. The first device is typically an implant positioned in the subvalvular space of a ventricle. The second device may be an annuloplasty implant, a non-annulus valve apparatus implant, a ventriculoplasty implant, or a cardiac rhythm management device.

What is claimed is: 
     
         1 . A method for reducing valve regurgitation, comprising:
 accessing a ventricle in a patient with a pre-existing annuloplasty implant;   positioning a therapy device adjacent a wall of the ventricle; and   reconfiguring the wall of the ventricle using the therapy device.   
     
     
         2 . The method of  claim 1 , wherein the therapy device comprises a plurality of tissue anchors movably coupled to a tether. 
     
     
         3 . The method of  claim 2 , wherein at least one tissue anchor is a self-attaching tissue anchor. 
     
     
         4 . The method of  claim 1 , further comprising reducing a distance between a first papillary muscle and a second papillary muscle in the ventricle. 
     
     
         5 . The method of  claim 1 , further comprising reducing a distance between a valve leaflet and a papillary muscle.