Prevention of LVOT Obstruction by Device-Mediated Laceration of the Anterior Mitral Valve Leaflet During TMVR

Left ventricular outflow tract obstruction represents a life-threatening complication in patients undergoing transcatheter mitral valve replacement. Interventional approaches to prevent left ventricular outflow tract obstruction are complex and require exceptional procedural expertise. We demonstrat...

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Detalles Bibliográficos
Autores principales: Ludwig, Sebastian, Kalbacher, Daniel, Waldschmidt, Lara, Schaefer, Andreas, Modine, Thomas, Dvir, Danny, Carasso, Shemy, Denti, Paolo, Schofer, Niklas, Conradi, Lenard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313487/
https://www.ncbi.nlm.nih.gov/pubmed/37396329
http://dx.doi.org/10.1016/j.jaccas.2023.101873
Descripción
Sumario:Left ventricular outflow tract obstruction represents a life-threatening complication in patients undergoing transcatheter mitral valve replacement. Interventional approaches to prevent left ventricular outflow tract obstruction are complex and require exceptional procedural expertise. We demonstrate feasibility and safety of first-in-human device-mediated mechanical laceration of the anterior mitral valve leaflet prior to transapical transcatheter mitral valve replacement. (Level of Difficulty: Advanced.)

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