Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation.

Bail-Out Alcohol Septal Ablation for Left Ventricular Outflow Tract Obstruction After Transcatheter Mitral Valve Replacement.

A 76-year-old woman with degenerative mitral valve disease was referred for refractory heart failure. An echocardiogram showed the presence of a massive mitral annular calcification with severe stenosis (mitral valve area, 1.0 cm; mean gradient, 11 mm Hg) and a small left ventricular cavity with a 23-mm septal bulge without obstruction (Figures 1A to 1C, Online Video 1). Computed tomography (CT...

Combined transcatheter aortic valve replacement and emergent alcohol septal ablation.

Surgical Bailout Therapy after Implantation of a Medtronic CoreValve Bioprosthesis

Moderate-to-severe paraprosthesic leak causing hemodynamic deterioration and left ventricular remodeling can occur after transcatheter aortic valve implantation (TAVI). We present the case of a 75-year-old woman who underwent TAVI with a 26 mm CoreValve prosthesis complicated with an acute left ventricle dilatation due to a severe paravalvular leak. Patient was unresponsive to elective balloon ...

Almanac 2012: Interventional cardiology.

The field of interventional cardiology continues to progress quickly. The efficacy of percutaneous interventions with newer generation drug-eluting stents has advanced a lot over the last decade. This improvement in stent performance has broadened the level of indication towards more complex interventions such as left main and multi- vessel PCI. Major improvements continue in the field of medic...

Impact of aortic regurgitation after transcatheter aortic valve implantation: results from the REVIVAL trial.

OBJECTIVES Understanding the severity of aortic regurgitation (AR) after transcatheter aortic valve implantation, its impact on left ventricular (LV) structure and function, and the structural factors associated with worsening AR could lead to improvements in patient selection, implantation technique, and valve design. BACKGROUND Initial studies in patients at high risk of surgical aortic val...