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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1431639
This article is part of the Research Topic Case Reports in Heart Surgery: 2023 View all 14 articles

Left Ventricular Outflow Tract Obstruction after Transcatheter Mitral Valve Replacement: a multifaceted approach Running head: TMVR and delayed LVOTO

Provisionally accepted
Berenice Caneiro-Queija Berenice Caneiro-Queija Claudio Guerreiro Claudio Guerreiro Julio Echarte Morales Julio Echarte Morales Rodrigo Estevez-Loureiro Rodrigo Estevez-Loureiro *Manuel Barreiro-Perez Manuel Barreiro-Perez Rocio Gonzalez-Ferreiro Rocio Gonzalez-Ferreiro Francisco Estevez-Cid Francisco Estevez-Cid Juan J. Legarra Juan J. Legarra Jose Antonio Baz Jose Antonio Baz Andres Iñiguez-Romo Andres Iñiguez-Romo
  • Alvaro Cunqueiro Hospital, Pontevedra, Spain

The final, formatted version of the article will be published soon.

    A 83-year-old woman was admitted to our Institution due to heart failure. Transthoracic echocardiography revealed severe MAC conditioning double mitral lesion. After Heart Team discussion a transcatheter mitral valve replacement (TMVR) with Tendyne (Abbott Structural, Santa Clara, CA, USA) was performed. Despite having a predicted neo-left ventricular outflow tract (LVOT) above the cut-off value, the patient developed clinically significant LVOT obstruction refractory to medical therapy After taking into consideration patient's anatomy we decided to perform alcohol septal ablation (ASA). In this case report we discuss this event and the available strategies to prevent and manage this condition.

    Keywords: Tendyne, Left ventricular outflow tract obstruction, Transcatheter mitral valve replacement, Mitral annular calcification, Alcohol septal ablation (ASA)

    Received: 12 May 2024; Accepted: 05 Aug 2024.

    Copyright: © 2024 Caneiro-Queija, Guerreiro, Echarte Morales, Estevez-Loureiro, Barreiro-Perez, Gonzalez-Ferreiro, Estevez-Cid, Legarra, Baz and Iñiguez-Romo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Rodrigo Estevez-Loureiro, Alvaro Cunqueiro Hospital, Pontevedra, Spain

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