A novel method of prosthetic leaflet modification to enable transcatheter mitral valve-in-valve replacement

被引:6
作者
Spilias, Nikolaos [1 ]
Miyasaka, Rhonda [1 ]
Kapadia, Samir R. [1 ]
Krishnaswamy, Amar [1 ,2 ]
机构
[1] Cleveland Clin, Vasc & Thorac Inst, Dept Cardiovasc Med, Sones Cardiac Catheterizat Labs, Cleveland, OH 44195 USA
[2] Cleveland Clin, Vasc & Thorac Inst, Dept Cardiovasc Med, Cardiac Catheterizat Labs, Mail CodeJ2-3,9500 Euclid Ave, Cleveland, OH 44195 USA
关键词
leaflet modification; LVOT; TMVR; valve-in-valve; OUTFLOW TRACT OBSTRUCTION;
D O I
10.1002/ccd.30872
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Left ventricular outflow tract (LVOT) obstruction from the displaced prosthetic anterior mitral leaflet is a life-threatening complication that can occur during valve-in-valve (ViV) transcatheter mitral valve replacement (TMVR). Laceration of the anterior mitral leaflet to prevent outflow obstruction is a well-established transcatheter technique to mitigate the risk of LVOT obstruction in high-risk anatomies. In this report, we present a novel transseptal technique of prosthetic leaflet modification to prevent LVOT obstruction during ViV TMVR.
引用
收藏
页码:1149 / 1153
页数:5
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