Left Ventricular Outflow Tract Obstruction After Transcatheter Mitral Valve-in-Ring Implantation: A Word of Caution Sameh M. Said, MD, Sorin Pislaru,

Slides:

Advertisements

Similar presentations

Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS,

Advertisements

The Annals of Thoracic Surgery

Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution Jules Iquille, MD, Joseph Nader, MD, Eric Colpart, MD,

Prosthetic Mitral Valve Replacement: Late Complications After Native Valve Preservation Eduardo Esper, MD, Francis D Ferdinand, MD, Solomon Aronson,

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Sutureless Implantation of the Perceval S Aortic Valve Prosthesis Through Right Anterior Minithoracotomy Daniyar Gilmanov, MD, Antonio Miceli, MD, Stefano.

Giant Left Ventricular Myxoma With Obstruction of the Left Ventricular Outflow Tract Jian Liu, MD, Hui-Ming Guo, MD, Bin Xie, MD, Hai-Jiang Guo, MD, Ji-Mei.

Left Ventricular Outflow Obstruction After Mitral Valve Replacement Preserving Native Anterior Leaflet Kazuma Okamoto, MD, Issei Kiso, MD, PhD, Yoshihito.

Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients Dumbor L. Ngaage, MB, BS, Charles J. Mullany,

Pulmonary Valve Replacement With Balloon-Expandable Prosthesis Under Direct Vision: A Novel Therapeutic Approach Yi Lin, MD, Joseph A. Dearani, MD, Donald.

Double-Orifice Left Atrioventricular Valve in Patients With Atrioventricular Septal Defects: Surgical Strategies and Outcome Vikas Sharma, MD, Harold.

Midventricular Obstruction Caused by Abnormal Intra–Left Ventricular Septum and Papillary Muscles Takaaki Samura, MD, Koichi Toda, MD, PhD, Shunsuke.

Surgical Removal and Replacement of Chronically Implanted Transcatheter Aortic Prostheses: How I Teach It Abeel A. Mangi, MD, Mahesh Ramchandani, MD,

Norihiro Kondo, MD, Takashi Shuto, MD, Jeremy R. McGarvey, MD, Kevin J

Pranav Loyalka, MD, Kelsey B. Montgomery, BS, Tom C

Volume 81, Issue 1, Pages (January 1982)

Pseudoaneurysm of an Aortic Homograft

Myectomy and mitral repair through the left atrium in hypertrophic obstructive cardiomyopathy: The preferred approach for contemporary surgical candidates?

Dipesh K. Shah, MD, Hartzell V. Schaff, MD, Martin D

Mobilization of the left and right fibrous trigones for relief of severe left ventricular outflow obstruction Magdi Yacoub, FRCS, FRCP, Obed Onuzo, MRCP,

MitraClip Implantation for the Treatment of New-Onset Systolic Anterior Motion of the Mitral Valve After Transcatheter Aortic Valve Replacement Carmelo.

Intraoperative direct measurement of left ventricular outflow tract gradients to guide surgical myectomy for hypertrophic cardiomyopathy Elena A. Ashikhmina,

Pankaj Saxena, FRACS, PhD, Harold M. Burkhart, MD, Hartzell V

Outcome of Surgical Repair of Pulmonary Artery Aneurysms: A Single-Center Experience With 38 Patients Janani S. Reisenauer, MD, Sameh M. Said, MD, Hartzell.

Isolated Tricuspid Valve Repair After Metastatic Tumor Resection

Maura Steed, BS, Vitor Guerra, MD, PhD, Michael R

Marek Polomsky, MD, Konstantinos P. Koulogiannis, MD, Robert M

Accessory mitral valve tissue causing severe left ventricular outflow tract obstruction in an adult Yoshikazu Aoka, MD, Naoko Ishizuka, MD, PhD, Yasunari.

Evolut R Implantation to Treat Severe Pure Aortic Regurgitation in a Patient With Mitral Bioprosthesis Giuseppe Bruschi, MD, Paola Colombo, MD, PhD,

Mitroflow Aortic Bioprosthesis 5-Year Follow-Up: North American Prospective Multicenter Study Federico M. Asch, MD, David Heimansohn, MD, Daniel Doyle,

Robotic Resection of an Aortic Valve Papillary Fibroelastoma

Jeffrey E. Keenan, MD, John P. Vavalle, MD, Asvin M

Aortic Elongation Induced Aortic Stenosis (AEAS)

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Timothy Lee, BS, Alexander J. C

Jorge Sierra, MD, FETCS, Nadia H. Lahlaïdi, MD, Jan T

Sternal Closure With Tie Bands: A Word of Caution

Paradoxical Neochords to Treat Systolic Anterior Motion in Hypertrophic Obstructive Cardiomyopathy Samer Kassem, MD, PhD, Maurizio Roberto, MD, PhD,

The Left Atrial “Medusa Myxoma”

A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy Joerg.

Qingyu Wu, MD, Lufeng Zhang, MD, Rui Zhu, MD

John J. Squiers, BSE, Katherine R. Hebeler, BA, J

Amanda M. Marshall, MD, Mitchell I. Cohen, MD, Ashish B

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

Spindle Cell Sarcoma of the Mitral Valve: An Unusual Cause of Acute Coronary Syndrome in a Child Thomas Martens, MD, Kristof Vandekerckhove, MD, Katrien.

Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Sameh M. Said, MD, Hartzell V. Schaff, MD,

Unusual Cause of Femorofemoral Cardiopulmonary Bypass Failure

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Fixed left ventricular outflow tract obstruction in presumed hypertrophic obstructive cardiomyopathy: implications for therapy Charles J Bruce, MB, Rick.

Stuart A. Abel, MD, Thomas A. Stark, MD, Kent H

Valvular Cytomegalovirus Endocarditis

Juan G. Penaranda, MD, Kevin L. Greason, MD, Sorin V

Systolic Anterior Motion Obstructing the Pulmonary Outflow Tract After Tricuspid Valve Replacement Bilal H. Kirmani, MRCS, Ijas Moideen, FRCA, Pedro.

Ayesha S. Bryant, MSPH, William L. Holman, MD, Navin C

Pulmonary Valve Intimal Sarcoma

Nikaidoh Procedure: How I Teach It

Perceval Sutureless Valve in Freestyle Root: New Surgical Valve-in-Valve Therapy Emmanuel Villa, MD, PhD, Antonio Messina, MD, PhD, Marco Cirillo, MD,

Takotsubo Cardiomyopathy Following Pericardiocentesis After Aortic Valve Repair and Ascending Aorta Replacement Igor Belluschi, MD, Micaela Cioni, MD,

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever Sebastian Pagni, MD, Anthony Dempsey,

Reoperative Transapical Aortic Valve Implantation for Early Structural Valve Deterioration of a SAPIEN XT valve Philipp Kiefer, MD, Joerg Seeburger,

Basar Sareyyupoglu, MD, Hartzell V. Schaff, MD, Rakesh M

Ectopic thyroid tissue in the left ventricular outflow tract

Aortopulmonary Fistula After Outflow Tract Stent in Repaired Truncus

Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency Sameh M. Said, MD, Richard D. Mainwaring, MD, Michael Ma, MD, Theresa.

Left Ventricular Pacing Through the Anterior Interventricular Vein in a Patient With Mechanical Tricuspid, Aortic and Mitral Valves Masataka Yoda, MD,

Complete excision of secondary chordae of the anterior mitral leaflet as an adjunct in surgical management of hypertrophic obstructive cardiomyopathy.

Basar Sareyyupoglu, MD, Harold M. Burkhart, MD, Donald J

Filip Casselman, MD, PhD, FETCS, Hugo Vanermen, MD, FETCS

Aortic Valve Replacement After Transapical Valve-in-Valve Implantation

Resolution of Heart Block After Surgical Correction of Failed Transcatheter Aortic Valve Implantation Alexander Weymann, MD, Nikhil Prakash Patil, MRCS,

Presentation transcript:

Left Ventricular Outflow Tract Obstruction After Transcatheter Mitral Valve-in-Ring Implantation: A Word of Caution Sameh M. Said, MD, Sorin Pislaru, MD, Kunal D. Kotkar, MD, Charanjit S. Rihal, MD, William J. Mauermann, MD, Hartzell V. Schaff, MD, Joseph A. Dearani, MD The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e495-e497 (December 2016) DOI: 10.1016/j.athoracsur.2016.03.039 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transesophageal echocardiographic view with long axis of the left ventricular outflow tract during systole. The anterior mitral leaflet is pushed anteriorly by the mitral prosthesis stent, resulting in pronounced systolic anterior motion and severe dynamic obstruction of the left ventricular outflow. The Annals of Thoracic Surgery 2016 102, e495-e497DOI: (10.1016/j.athoracsur.2016.03.039) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intraoperative view showing the anterior mitral valve leaflet (AML) projecting in the left ventricular outflow tract (LVOT) (*) seen through both aortic prostheses. (B) Intraoperative view showing severe LVOT obstruction resulting from the displaced AML. The interventricular septum (septum) is visible. (Ao = aorta.) The Annals of Thoracic Surgery 2016 102, e495-e497DOI: (10.1016/j.athoracsur.2016.03.039) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Intraoperative view looking through the aortic prostheses. The anterior mitral leaflet (AML) being excised with the mitral Sapien S3 valve (arrow) appears deep in the left ventricular outflow tract (LVOT). (1 = Mitroflow prosthesis; 2 = Sapien XT valve; Ao = aorta.) (B) Closer view of the AML during excision through the Sapien XT aortic prosthesis, and the Sapien S3 valve in the mitral position appears projecting in the LVOT. (C) Intraoperative view looking through the aortic prostheses showing the widely opened LVOT after complete excision of the AML. (IVS = interventricular septum.) (D) Transesophageal echocardiographic view after surgical resection of the AML. Note laminar flow in the LVOT. (Ao = aorta.) The Annals of Thoracic Surgery 2016 102, e495-e497DOI: (10.1016/j.athoracsur.2016.03.039) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions