Preemptive Alcohol Septal Ablation Prior to Valve-in-Valve Transcatheter Mitral Valve Replacement With Bioprosthetic Balloon Fracture

A 78-year-old woman with bioprosthetic mitral valve degeneration at high risk for reoperation was referred for transcatheter mitral valve replacement. We describe the use of a preemptive alcohol septal ablation pre-procedurally to minimize the risk of acute left ventricular outflow tract obstruction...

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Detalles Bibliográficos
Autores principales: Engel Gonzalez, Pedro, Turer, Aslan T., Doolabh, Neelan, Jessen, Michael E., Kumbhani, Dharam J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Valvular Heart Disease Guidelines
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311042/
https://www.ncbi.nlm.nih.gov/pubmed/34317538
http://dx.doi.org/10.1016/j.jaccas.2020.12.021
Descripción
Sumario:A 78-year-old woman with bioprosthetic mitral valve degeneration at high risk for reoperation was referred for transcatheter mitral valve replacement. We describe the use of a preemptive alcohol septal ablation pre-procedurally to minimize the risk of acute left ventricular outflow tract obstruction given the anticipated need for a bioprosthetic valve fracture. (Level of Difficulty: Advanced.)

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