Prophylactic Left Ventricular Outflow Tract Septal Ablation Before Transcatheter Mitral Valve Replacement
An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mor...
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Published in | JACC. Case reports Vol. 1; no. 5; pp. 823 - 831 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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18.12.2019
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Abstract | An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mortality risk due to obstruction of the left ventricular outflow tract. (Level of Difficulty: Intermediate.)
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An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular… |
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AbstractList | An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mortality risk due to obstruction of the left ventricular outflow tract. (Level of Difficulty: Intermediate.) An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mortality risk due to obstruction of the left ventricular outflow tract. (Level of Difficulty: Intermediate.) [Display omitted] An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular… An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mortality risk due to obstruction of the left ventricular outflow tract. ( Level of Difficulty: Intermediate. ) An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular… |
Author | Kumar, Kris Lotun, Kapildeo Dhakal, Bishnu Acharya, Deepak Shetty, Ranjith Reddy, Sridhar |
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Keywords | alcohol THV TTE ablation LVOT imaging stenosis LAD MAC ASA TMVR mitral valve HRCT |
Language | English |
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References | Guerrero, Wang, Himbert (bib8) 2017; 90 Papadopoulous, Dietrich, Christodoulou (bib2) 2009; 87 Yoon, Bleiziffer, Latib (bib5) 2019; 12 Khan, Babaliaros, Greenbaum (bib6) 2019; 73 Eleid, Foley, Said (bib10) 2016; 9 Wang, Eng, Greenbaum (bib4) 2016; 9 Guerrero, Urena, Himbert (bib3) 2018; 71 Fox, Vasan, Parise (bib1) 2003; 107 Sigwart (bib7) 1995; 346 Wang, Guerrero, Eng (bib9) 2019; 12 Guerrero (10.1016/j.jaccas.2019.11.016_bib3) 2018; 71 Wang (10.1016/j.jaccas.2019.11.016_bib4) 2016; 9 Wang (10.1016/j.jaccas.2019.11.016_bib9) 2019; 12 Papadopoulous (10.1016/j.jaccas.2019.11.016_bib2) 2009; 87 Sigwart (10.1016/j.jaccas.2019.11.016_bib7) 1995; 346 Eleid (10.1016/j.jaccas.2019.11.016_bib10) 2016; 9 Yoon (10.1016/j.jaccas.2019.11.016_bib5) 2019; 12 Guerrero (10.1016/j.jaccas.2019.11.016_bib8) 2017; 90 Fox (10.1016/j.jaccas.2019.11.016_bib1) 2003; 107 Khan (10.1016/j.jaccas.2019.11.016_bib6) 2019; 73 |
References_xml | – volume: 87 start-page: 1143 year: 2009 end-page: 1147 ident: bib2 article-title: Midterm survival after decalcification of the mitral annulus publication-title: Ann Thorac Surg contributor: fullname: Christodoulou – volume: 12 start-page: 1268 year: 2019 end-page: 1279 ident: bib9 article-title: Alcohol septal ablation to prevent left ventricular outflow tract obstruction during transcatheter mitral valve replacement: first-in-man study publication-title: J Am Coll Cardio Intv contributor: fullname: Eng – volume: 12 start-page: 182 year: 2019 end-page: 193 ident: bib5 article-title: Predictors of left ventricular outflow tract obstruction after transcatheter mitral valve replacement publication-title: J Am Coll Cardiol Intv contributor: fullname: Latib – volume: 90 start-page: 1220 year: 2017 end-page: 1226 ident: bib8 article-title: Short-term results of alcohol septal ablation as a bail-out strategy to treat severe left ventricular outflow tract obstruction after transcatheter mitral valve replacement in patients with severe mitral annular calcification publication-title: Catheter Cardiovasc Interv contributor: fullname: Himbert – volume: 9 start-page: 1349 year: 2016 end-page: 1352 ident: bib4 article-title: Predicting LVOT obstruction after TMVR publication-title: J Am Coll Cardiol Img contributor: fullname: Greenbaum – volume: 107 start-page: 1492 year: 2003 end-page: 1496 ident: bib1 article-title: Mitral annular calcification predicts cardiovascular morbidity and mortality: the Framingham Heart Study publication-title: Circulation contributor: fullname: Parise – volume: 346 start-page: 211 year: 1995 end-page: 214 ident: bib7 article-title: Non-surgical myocardial reduction for hypertrophic obstructive cardiomyopathy publication-title: Lancet contributor: fullname: Sigwart – volume: 9 start-page: 1318 year: 2016 end-page: 1337 ident: bib10 article-title: Severe mitral annular calcification multimodality imaging for therapeutic strategies 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publication-title: J Am Coll Cardio Intv doi: 10.1016/j.jcin.2019.02.034 contributor: fullname: Wang – volume: 107 start-page: 1492 year: 2003 ident: 10.1016/j.jaccas.2019.11.016_bib1 article-title: Mitral annular calcification predicts cardiovascular morbidity and mortality: the Framingham Heart Study publication-title: Circulation doi: 10.1161/01.CIR.0000058168.26163.BC contributor: fullname: Fox – volume: 73 start-page: 2521 year: 2019 ident: 10.1016/j.jaccas.2019.11.016_bib6 article-title: Anterior leaflet laceration to prevent ventricular outflow tract obstruction during transcatheter mitral valve replacement publication-title: J Am Coll Cardiol doi: 10.1016/j.jacc.2019.02.076 contributor: fullname: Khan |
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Title | Prophylactic Left Ventricular Outflow Tract Septal Ablation Before Transcatheter Mitral Valve Replacement |
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