Structural heart disease encompasses a wide range of abnormalities involving noncoronary structures like the heart's valves, walls, and chambers. The last decade emphasized the burden of the disease and revolutionized the treatment strategies.
The number of percutaneous structural heart interventions constantly increases worldwide. While some parts of the world acquire experience with various intervention treatments, techniques, and devices, others are paving their first steps.Complex Cases in Structural Heart Interventions provide a descriptive and highly illustrative insight into unique clinical situations managed by one of the world's most experienced and innovative teams.
Each case study contains a clinical presentation, imaging analysis, procedural dilemmas, and resulting outcome. A detailed explanation of the technique used, key points and tips were highlighted, and a literature review covered broad knowledge on each topic.The authors shared their knowledge and distinctive solutions from over a decade of experience to ensure an educational adventure for the medical community and a roadmap for interventional heart teams.
Author(s): Ofir Koren, Raj Makkar, Vivek Patel, Danon Kaewkes, Hasan Jilaihawi, Jubin Joseph
Publisher: Springer
Year: 2023
Language: English
Pages: 291
City: Cham
About the Editors
Our Team
The Interventional Cardiologists Team
Our Nurse Practitioners
Our Research Coordinators
Our Cath Lab Staff
Our Past Fellows
Introduction
Contents
Editors and Contributors
Editors
Contributors
Reviewers
Part I: Aortic Valve
TAVR Procedure in a Patient with a Significant Large Aortic Valve Annulus
1 Clinical Presentation
2 Images and Supported Data
3 Preprocedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
TAVR in Patients with Bicuspid Aortic Valve
1 Clinical Presentation
1.1 Images and Supported Data
1.2 Pre-Procedural Consideration
2 Outcome and Follow-Up
3 Discussion
References
Acute Aortic Dissection Due to Access Site Tortuosity
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
TAVR in Highly Horizontal Aorta of a Bicuspid AS Patient
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Retrograde Approach for AV Wire Crossing
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Procedure and Outcome
5 Discussion
References
Balloon Burst During a Sapien-3 THV Inflation
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Sapien-3 THV Dislodgment During Balloon Inflation
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Valve Emboli Due to Non-Captured Pacing
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Bailout Solution in a Case of an Embolized Balloon Expanding THV
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Procedure and Outcome
5 Discussion
6 Incidence and Causes
References
Displacement of a THV Toward Ascending Aorta Due to Premature Ventricular Contraction
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Coronary Access Protection Technique (The Chimney Procedure) During TAVR
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcomes and Follow-Up
6 Discussion
References
Left Main Coronary Artery Obstruction Following Valve-in-Valve TAVR Procedure Involving Mitroflow Valve
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
Reduction in Left Coronary Artery Flow After Valve-in-Valve TAVR Procedure
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Acute Embolic Occlusion of the Left Coronary Artery Following TAVR
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Two-Valves Solution for Unstable Self-Expandable Valve and Aortic Root Aneurysm
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Bradycardia and Hypotension During TAVR Procedure
1 Clinical Background
2 Imaging
3 Preprocedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Follow-Up
6 Discussion
References
Left Ventricular Outflow Obstruction Following TAVR
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
TAVR in Previous Two TAVRs in SAVR
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure and Outcome
5 Follow-Up
6 Discussion
References
TAVR in Pseudoaneurysm of Sinus of Valsalva
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
TAVR Valve Dislodgement Due to Retrieval of Coronary Stent and Guidewire
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas and Challenges, Technique
4 Outcome and Follow-Up
5 Discussion
References
TAVR in Aortic Root Homograft and Challenging Access
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
Aortic Root Rupture Following TAVR Procedure
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
TAVR in Patient with a Large Apical Left Ventricular Thrombus
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
TAVR in Patients with Repaired Tetralogy of Fallot
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
Part II: Mitral Valve
Edge-to-Edge Mitral Valve Repair in a Patient with Situs Inversus
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Outcome and Follow-Up
5 Discussion
References
Transcatheter Mitral Valve Replacement in a Patient with Severe Mitral Annular Calcification
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Outcome and Follow-Up
5 Discussion
References
Air Embolization During a MitraClip Procedure
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
Left Ventricular Outflow Obstruction Following TMVR
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Technique
5 Outcome and Follow-Up
6 Discussion
References
Clip Steerable Delivery System Malfunction
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
TMVR Valve Dislodgement
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
Multiple Edge-to-Edge Percutaneous Repairs for Severe Mitral and Tricuspid Regurgitation
1 Clinical Presentation
2 Images and Supported Data
3 Procedure and Outcome
4 Discussion
References
Transcatheter Tricuspid and Mitral Valve Replacement in a Patient with Cardiogenic Shock
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Procedure and Outcome
5 Discussion
References
Part III: Miscellaneous
Apical Aneurysm Closure
1 Clinical Presentation
2 Images and Supported Data
3 Pre-Procedural Consideration: Pitfalls, Dilemmas, and Challenges
4 Discussion
References
Closure of Subvalvular Fistula and Occlusion of Right Coronary Artery During TAVR
1 Clinical Background
2 Imaging
3 Pre-Procedural Considerations, Dilemmas, and Challenges
4 Procedure, Outcome, and Follow-Up
5 Discussion
References
Index
