Sequential Alcohol Septal Ablation to Resolve LV Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement

Mark M.P. van den Dorpel, Mauricio Felippi de Sá Marchi, Sarah Verhemel, Rik Adrichem, Rutger Jan Nuis, Joost Daemen, Marcel L. Geleijnse, Claire Ben Ren, Alexander Hirsch, Nicolas M. Van Mieghem*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

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.

Original languageEnglish
Article number102193
JournalJACC: Case Reports
Volume29
Issue number3
DOIs
Publication statusPublished - 7 Feb 2024

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