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

Author

Sebastian Ludwig, MD, Daniel Kalbacher, MD, Lara Waldschmidt, MD, Andreas Schaefer, MD, MHBA, MD, Thomas Modine, MD, PhD, Danny Dvir, MD, Shemy Carasso, MD, Paolo Denti, MD, Niklas Schofer, MD, and Lenard Conradi, MD

Subjects
leaflet laceration, LVOT obstruction, transcatheter mitral valve replacement, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

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.)

Published
2023
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