JACC: Case Reports (Dec 2019)

Prophylactic Left Ventricular Outflow Tract Septal Ablation Before Transcatheter Mitral Valve Replacement

  • Kris Kumar, DO,
  • Sridhar Reddy, MD,
  • Bishnu Dhakal, MD,
  • Deepak Acharya, MD,
  • Ranjith Shetty, MD,
  • Kapildeo Lotun, MD

Journal volume & issue
Vol. 1, no. 5
pp. 823 – 831

Abstract

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An 82-year-old woman with severe respiratory distress and limitations in functional status was found to have severe mitral valve stenosis with annular calcification and referred for transcatheter mitral valve replacement. Prophylactic alcohol septal ablation was used pre-procedurally to minimize mortality risk due to obstruction of the left ventricular outflow tract. (Level of Difficulty: Intermediate.)

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