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Prevention of left ventricular outflow tract obstruction in transapical mitral valve replacement: the MitraCut procedure.
EuroIntervention
November 2024
Department of Cardiac Surgery, Medical University Pisa, Pisa, Italy.
Article Synopsis
- The MitraCut procedure is an innovative technique involving endoscopic scissors to cut the anterior mitral leaflet during transapical transcatheter mitral valve replacement (TA-TMVR) to prevent left ventricular outflow tract (LVOT) obstruction.
- In a study across six European centers, outcomes were reviewed for 13 high-risk patients who underwent this procedure, showing a high success rate with minimal complications.
- The findings suggest that the MitraCut procedure is effective at preventing LVOT obstruction, with no postoperative obstructions, a low rate of minor leaks, and no in-hospital or 30-day mortalities among the patients.
Management of giant left atrial thrombus late after transcatheter mitral valve-in-ring replacement using a transcatheter aortic valve: a case report.
BMC Cardiovasc Disord
November 2024
Department of Internal Medicine I, Cardiology, Angiology, Intensive Medical Care, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany.
Background: In symptomatic high-risk patients with severe mitral valve regurgitation (MR), who are not eligible for surgery, Transcatheter edge-to-edge repair (TEER) or transcatheter mitral valve replacement (TMVR) may be an option, especially when surgical mitral valve repair by annuloplasty has been performed earlier. After TMVR, the appropriate anticoagulation regimen is still matter of debate.
Case Presentation: We here report on a 78-year-old frail lady with heart failure and atrial fibrillation who underwent surgical reconstruction of the mitral valve nine years ago.
Comprehensive management of paravalvular mitral valve leakage through a transapical approach: a case study.
Acta Cardiol
November 2024
Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Paravalvular leaks (PVL) after mitral valve replacement happen in 7% to 17% of cases, with 1% to 5% being serious.
- Surgical repair is typically suggested, but transcatheter PVL closures have proven to have better results and fewer complications.
- This case report explores a patient with a severe PVL following aortic and mitral valve replacement who was treated using a transapical approach, looking into the outcomes and possible complications.
Hybrid Transcatheter Approach to an Iatrogenic Left Ventricle-Coronary Sinus Fistula.
JACC Case Rep
May 2024
Department of Cardiology, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
This clinical case describes a subacute presentation of decompensated heart failure secondary to an iatrogenic left ventricle-to-coronary sinus fistula after sequential mitral valve surgical procedures. Computed tomography was used to select an unconventional hybrid transapical access approach and facilitate successful closure using a vascular plug.
View Article and Find Full Text PDFTranscatheter closure of mitral paravalvular leak by transapical approach with rectangular paravalvular leak device.
Cardiovasc Interv Ther
July 2024
Division of Cardiovascular Surgery, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-Ku, Tokyo, 153-8515, Japan.
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