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Transseptal BATMAN Procedure Utilizing a Simplified Technique: "Single Wire Approach for Traversing Tissue" (SWATT).
Catheter Cardiovasc Interv
January 2025
The Christ Hospital Heart and Vascular Institute, Cincinnati, Ohio, USA.
One of the major issues encountered in patients undergoing evaluation for Transcatheter mitral valve replacement (TMVR) is the risk of Left ventricular outflow tract (LVOT) obstruction. LVOT obstruction is a catastrophic complication of TMVR, the result of displacement of the anterior mitral valve leaflet (AML) toward the interventricular septum. Several strategies to mitigate the risk of LVOT obstruction have been described and include percutaneous laceration of the anterior mitral leaflet (LAMPOON), alcohol septal ablation, trans-atrial leaflet modification (SITRAL) and Balloon Assisted Translocation of Mitral Anterior leaflet to prevent LVOT obstruction (BATMAN).
View Article and Find Full Text PDFDirect Implantation of Transcatheter Valve in Mitral Annular Calcification: A Multicenter Study.
Ann Thorac Surg
January 2025
Section of Cardiac Surgery, Libin Cardiovascular Institute, Calgary, Alberta, Canada.
Background: Mitral valve replacement in the setting of severe annular calcification (MAC) is associated with high morbidity and mortality. Direct surgical implantation of a transcatheter heart valve (THV) through a transatrial approach is a strategy to mitigate surgical risk. This study reports the perioperative and 1-year outcomes of mitral valve replacement using a THV in patients with severe circumferential MAC at 3 Canadian centers.
View Article and Find Full Text PDFTreatment of degenerated mitral bioprosthesis using inovare alpha rapid deployment balloon-expandable prosthesis-a minimally invasive approach.
Interdiscip Cardiovasc Thorac Surg
October 2024
Department of Cardiovascular Surgery, Hospital Beneficência Portuguesa, São José do Rio Preto, SP, Brazil.
Article Synopsis
- - An 82-year-old woman suffered from severe mitral bioprosthesis stenosis and heart failure, with significant EuroScore and STS Scores indicating high surgical risk.
- - She underwent a novel surgical procedure involving a valve-in-valve implantation using a balloon-expandable prosthesis, accessed through a small incision in the chest.
- - Post-surgery, she was discharged and improved to NYHA Class I with no angina, indicating a significant recovery under cardiology follow-up.
Comparison of clinical and echocardiographic outcomes between mini-thoracotomy transatrial LuX-Valve transcatheter and surgical tricuspid valve replacement.
Front Cardiovasc Med
August 2024
Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Background And Aims: Transcatheter tricuspid valve replacement (TTVR) has recently emerged as a novel therapeutic approach for managing severe tricuspid regurgitation (TR). However, surgical tricuspid valve replacement (STVR) continues to be the predominant treatment modality. There are limited comparative data on both procedures.
View Article and Find Full Text PDFTransatrial repair of a giant left ventricular pseudoaneurysm and ischaemic mitral regurgitation after myocardial infarction: case report.
Eur Heart J Case Rep
August 2024
Department of Cardiovascular Surgery, Okayama Medical Center, 1711-1 Tamasu, Kitaku, Okayamashi, Okayama 701-1192, Japan.
Background: Left ventricular pseudoaneurysm (LVPA) is an infrequent but highly lethal complication of myocardial infarction. Early surgical repair with a resection of pseudoaneurysm is often performed, given that medical therapy alone is associated with a high risk of mortality. This report describes a case of a giant LVPA on the lateral wall post-infarction and mitral valve regurgitation that was successfully treated by surgical transatrial closure and mitral valve replacement.
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