Severe LVOT Obstruction After Transcatheter Mitral Valve Replacement

LVOTO after TMVR is a feared and potentially fatal complication that may still occur despite thorough preprocedural planning. This complex case demonstrates that LVOTO with hemodynamic compromise after TMVR necessitates timely intervention. With today's advanced interventional techniques, this salvage procedure with vascular stent implantation in the LVOT represents a feasible treatment option.

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Publication Details

Journal
JACC Case Reports
Published
2025-12-01
DOI
https://doi.org/10.1016/j.jaccas.2025.106397
Primary Topic
Cardiac Valve Diseases and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Severe LVOT Obstruction After Transcatheter Mitral Valve Replacement

Pim A.L. Tonino, Koen Teeuwen, Sjoerd Bouwmeester, Veerle A E van Hattem et al.
JACC Case Reports
Cardiac Valve Diseases and Treatments
article

Severe LVOT Obstruction After Transcatheter Mitral Valve Replacement

Pim A.L. Tonino, Koen Teeuwen, Sjoerd Bouwmeester, Veerle A E van Hattem, Lokien X. van Nunen
article en

Abstract

LVOTO after TMVR is a feared and potentially fatal complication that may still occur despite thorough preprocedural planning. This complex case demonstrates that LVOTO with hemodynamic compromise after TMVR necessitates timely intervention. With today's advanced interventional techniques, this salvage procedure with vascular stent implantation in the LVOT represents a feasible treatment option.

JACC Case Reports
Radboud University Nijmegen (NL), Catharina Ziekenhuis (NL), Radboud University Medical Center (NL)
Openalex Percentile: Top 44%
Cardiac Valve Diseases and Treatments
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