Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement
oleh: Mark M.P. van den Dorpel, MD, Mauricio Felippi de Sá Marchi, MD, Sarah Verhemel, MD, Rik Adrichem, MD, Rutger-Jan Nuis, MD, PhD, Joost Daemen, MD, PhD, Marcel L. Geleijnse, MD, PhD, Claire Ben Ren, MD, PhD, Alexander Hirsch, MD, PhD, Nicolas M. Van Mieghem, MD, PhD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2024-02-01 |
Deskripsi
Left ventricular outflow tract obstruction (LVOTO) is a notorious complication of transcatheter mitral valve replacement (TMVR). Computed tomography–derived simulations can predict neo-LVOTO post-TMVR, whereas alcohol septal ablation can mitigate neo-LVOTO risk. We report a case of sequential alcohol septal ablation of 2 adjacent septal branches to resolve unexpected neo-LVOTO post-TMVR.