USE OF ALCOHOL SEPTAL ABLATION TO TREAT IATROGENIC LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION DURING TRANSCATHETER MITRAL VALVE REPLACEMENT

2018 ◽  
Vol 71 (11) ◽  
pp. A2210 ◽  
Author(s):  
John Cyril Lisko ◽  
Patrick Gleason ◽  
Altayyeb Yousef ◽  
Stephen Clements ◽  
Vasilis Babaliaros ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Alcohol Septal Ablation ◽  
Transcatheter Mitral Valve Replacement ◽  
Left Ventricular Outflow

scholarly journals Left ventricular outflow tract obstruction after transcatheter mitral valve replacement: the importance of preprocedural planning and prevention

2021 ◽  
Vol 11 (4) ◽  
pp. 116-119
Author(s):  
Muhammad Abdulbasit
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Transcatheter Mitral Valve Replacement ◽  
Left Ventricular Outflow

Given the prevalence of mitral valve pathology in high-risk patients, transcatheter mitral valve replacement (TMVR) is becoming an attractive treatment modality. A known complication of TMVR is left ventricular outflow tract obstruction (LVOT) due to the prosthetic mitral valve and native anterior mitral valve leaflet encroaching into the LVOT. This is a serious complication which can lead to decreased cardiac output and death. Preprocedural planning with various imaging modalities (multi-detector cardiac CT and echocardiography) can predict those at high risk of LVOT obstruct. To increase awareness and to prevent this complication from occurring in the future, we present a case of LVOT obstruction after TMVR.

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