Using a practical, case-based format, this superbly illustrated atlas by Dr. Paul Sorajja is a comprehensive collection of more than 130 professional experiences in treating structural heart disease. Organized by pathology, each case presents key clinical points for practitioners at all levels, from beginner to expert. Cases are provided by interventionalists and surgeons with extensive hands-on experience, and edited by experts in the field
Key Features
Includes more than 130 cases covering the full range of structural procedures formitral valve disease, aortic valve disease, prosthetic valve disease, congenital heart disease, hypertrophic cardiomyopathy, and tricuspid disease.
Features more than 500 detailed instructional images for quick visual comprehension of essential aspects of each case.
Each case includes clinical information, diagnostic images, bulleted learning points, and explanations and rationales for every step of the procedure.
Covers catheter-based therapy for structural heart disease - an increasingly important and rapidly growing therapy for valvular heart disease.
Provides operator pitfalls and errors to help optimize success with each procedure.
Allows practitioners at all levels of experience to explore, gain insight, and learn important keys for success.
Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Author(s): Paul Sorajja, Wesley A Pederson, John R Lesser, Richard Bae, Emmanouil Brilakis
Edition: 1st Edition
Publisher: Elsevier
Year: 2018
Language: English
Commentary: TRUE PDF
Pages: 283
Tags: Interventional Cardiology
Structural Heart Cases......Page 2
Copyright Page......Page 4
Dedication......Page 5
List of Contributors......Page 6
Preface......Page 13
Acknowledgements......Page 14
Mitral Valve Disease......Page 15
Uncomplicated Transcatheter Mitral Valve Repair With MitraClip......Page 16
Commissural Mitral Regurgitation Therapy......Page 18
Advanced Steering in the Left Atrium for an Aortic Hugger......Page 20
Transcatheter Repair of Ruptured Papillary Muscle......Page 22
Optimal Intraprocedural Guidance for Mitral Therapy......Page 24
Challenges of Transcatheter Therapy for Functional Mitral Regurgitation......Page 26
The Zip-and-Clip Technique in Transcatheter Mitral Valve Repair......Page 28
Mitral Annular Calcification and Transcatheter Mitral Valve Repair......Page 30
Optimization of Multiple Clip Placement......Page 32
Importance of Hemodynamics for Assessing Residual Regurgitation......Page 34
Use of Low-Profile Catheter for Continuous Left Atrial Pressure Monitoring During Transcatheter Mitral Valve Repair......Page 36
Barlow’s Valve Therapy......Page 38
Acute Left Ventricular Dysfunction and Recovery After Transcatheter Mitral Repair......Page 40
A Space Too Small for Additional Clipping......Page 42
Treatment of Leaflet Perforation With Vascular Plugs......Page 44
Occluder Therapy for Residual Mitral Regurgitation After Transcatheter Repair......Page 46
Clip-to-Annuloplasty Ring......Page 48
Transcatheter Repair of Severe MR After Surgical Repair......Page 50
Unsuccessful Transcatheter Mitral Repair After Prior Cardiac Surgery......Page 52
MitraClip in a Patient with Radiation Heart Disease......Page 54
A Difficult Case of Transcatheter Mitral Valve Repair......Page 56
Stuck on the Atrial Septum......Page 58
Ensuring Mitral Leaflet Insertion......Page 60
Transcatheter Management of Failed Mitral Valve Repair......Page 62
Single Leaflet Device Attachment......Page 64
Lessons Learned From a Difficult MitraClip Case......Page 66
Percutaneous Treatment of Left Ventricular Dysfunction and Secondary Mitral Regurgitation (AccuCinch Ventriculoplasty System)......Page 68
Percutaneous Annuloplasty for Severe Mitral Regurgitation with Cardioband......Page 70
Left Ventricular Therapy for Functional MR......Page 72
Percutaneous Mitral Valve Annuloplasty With the Carillon Device for Functional Mitral Regurgitation......Page 74
Plugging a Hole Near a Mitral Surgical Ring......Page 76
Anatomical Intelligence and Image Fusion for Image Guidance of Transcatheter Mitral Valve Repair......Page 78
Subclinical Valve Leaflet Thrombosis......Page 80
Retrograde Transcatheter Mitral Valve Replacement (Intrepid)......Page 82
Retrograde Transcatheter Mitral Valve Replacement (Tendyne)......Page 84
Retrograde Transcatheter Mitral Valve Replacement for Mitral Regurgitation (Tiara)......Page 86
Complex Transcatheter Repair of Mitral Regurgitation Due to Postinfarction Papillary Muscle Rupture......Page 88
Transseptal Transcatheter Mitral Valve-in-Valve......Page 90
Self-Expanding Prosthesis for Severe Mitral Annular Calcification......Page 92
Transcatheter Mitral Valve Replacement With a Dedicated Prosthesis in Severe Mitral Annular Calcification......Page 94
Transcatheter Aortic Valve Used for Severe Mitral Annular Calcification......Page 96
Management of Transcatheter Mitral Valve Replacement–Induced Left Ventricular Outflow Tract Obstruction......Page 98
Transcatheter Valve Placement in a Mitral Ring......Page 100
Hemodynamic Assessment of Mitral Disease......Page 102
Balloon Mitral Valvuloplasty for Rheumatic Mitral Stenosis......Page 104
Rupture of Mitral Valve With Balloon Mitral Valvuloplasty......Page 106
Balloon Mitral Valvuloplasty for Rheumatic Disease Using a Rail......Page 108
Aortic Sinus Tear With Transcatheter Aortic Valve Replacement......Page 110
Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis......Page 112
Caseous Mitral Annular Calcification Distorting the Aortic Annulus......Page 114
Transvenous Antegrade Transcatheter Aortic Valve Replacement......Page 116
Valve Embolization in Transcatheter Aortic Valve Replacement......Page 118
Transcatheter Aortic Valve Therapy for Ascending Aortic Dissection......Page 120
Valve-in-Valve Therapy for Tricuspid Bioprosthetic Failure......Page 122
Controlled Transcatheter Aortic Valve Replacement......Page 124
Left Ventricular Perforation During Transcatheter Aortic Valve Replacement......Page 126
Transcatheter Aortic Valve Replacement for Subaortic Ring Treatment......Page 128
Bicuspid Aortic Valve Therapy Transcatheter Challenges......Page 130
Transcatheter Aortic Valve-in-Valve Therapy With High Risk of Coronary Obstruction......Page 132
A Difficult Case of Transcatheter Aortic Valve Replacement......Page 134
Valve Embolization During Transcatheter Aortic Valve Therapy......Page 136
Transcaval Transcatheter Aortic Valve Replacement......Page 138
Subclavian Management During Transcatheter Aortic Valve Replacement......Page 140
Rapid Ventricular Pacing and Demise of Ventricular Function......Page 142
Pure Aortic Regurgitation Treatment......Page 144
Percutaneous Closure of Aortic Valve for Persistent Aortic Insufficiency With Left Ventricular Assist Device......Page 146
Recurrent Valve Thrombus Early and Late After TAVR......Page 148
Transcatheter Aortic Valve Therapy Without Preprocedural Computed Tomography......Page 150
Cardiac Computed Tomography Evaluation of a Paravalvular Leak......Page 152
Retrograde Repair of Aortic Paravalvular Regurgitation......Page 154
Retrograde Repair of Mitral Paravalvular Regurgitation for Recurrent Paravalvular Regurgitation......Page 156
Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique......Page 158
Antegrade Repair of Mitral Paravalvular Regurgitation......Page 160
Benefit of Accurate Transseptal Puncture in Paravalvular Closure......Page 162
Challenging Echocardiographic Imaging for Paravalvular Leak Closure......Page 164
Coronary Dissection From Paravalvular Leak Closure......Page 166
Treatment of Coronary Obstruction After Paravalvular Leak Closure......Page 168
Papillary Muscle Rupture During Paravalvular Leak Closure......Page 170
Step-up Technique With Aortic Paravalvular Leak Closure......Page 172
The Anchor Wire Technique for Aortic Paravalvular Leak Closure......Page 174
Rewiring in Sequential Plug Placement for Paravalvular Regurgitation......Page 176
Simultaneous Plug Placement for Paravalvular Leaks......Page 178
Closure of Aorta to Right Ventricle Fistula......Page 180
The Aortic Arterial Rail Technique......Page 182
Repair of Paravalvular Regurgitation in a Balloon-Expanding Prosthesis......Page 184
Mitral Valve-in-Valve Therapy With an Apical Rail......Page 186
Antegrade Mitral Valve-in-Valve Therapy......Page 188
Bioprosthetic Valve Fracture to Facilitate Valve-in-Valve Transcatheter Aortic Valve Replacement......Page 190
Self-Expanding Prosthesis for Aortic Valve-in-Valve......Page 192
Small Prosthesis Therapy......Page 194
Transcatheter Valve-in-Valve Therapy Utilizing a Melody Valve for Bioprosthetic Tricuspid Valve Failure......Page 196
Valve-in-Valve Transcatheter Aortic Valve Replacement With a Repositionable, Self-Expanding Valve......Page 198
A Very Difficult Case of Valve-in-Valve Therapy......Page 200
Antegrade Balloon-Expandable Valve for Tricuspid Valve-in-Valve Therapy......Page 202
Complex Tricuspid Valve-in-Valve Therapy......Page 204
Fusion Imaging for Percutaneous Transapical Access......Page 206
Fusion Imaging for Mitral Valve-in-Valve Replacement......Page 208
Challenging Case of Surgical Mitral Ring Therapy......Page 210
Left Ventricular Outflow Tract Obstruction and Severe Reversible Ventricular Dysfunction After Valve-in-Ring Mitral Replacement......Page 212
Reversed Pulsus Paradoxus......Page 214
Percutaneous Mitral Valve Repair in Hypertrophic Cardiomyopathy......Page 216
Recurrent Obstruction After Percutaneous Plication in Hypertrophic Cardiomyopathy......Page 218
Complicated Alcohol Septal Ablation......Page 220
Untoward Myocardial Targeting With Contrast During Alcohol Septal Ablation......Page 222
Case Selection for Alcohol Septal Ablation......Page 224
Assessment of Aortic Stenosis in Hypertrophic Cardiomyopathy......Page 226
Transcatheter Left Ventricular Volume Reduction With Parachute in a Patient With Ischemic Cardiomyopathy......Page 228
Closure of Patent Ductus Arteriosus......Page 230
Complex PFO Closure Via Transseptal Puncture......Page 232
Clockwise Maneuver for ASD Closure......Page 234
Sizing Balloon to Facilitate ASD Closure......Page 236
Curve of Distal Sheath and Closure of ASD With Deficient Rim......Page 238
Closure of Patent Foramen Ovale Using a Cardioform Septal Occluder......Page 240
Transcatheter Open-Cell Stent Implantation for Treatment of Native Coarctation of the Aorta......Page 242
Transcatheter Device Closure of a Post Myocardial Infarction Ventricular Septal Defect......Page 244
Post-Surgical Ventricular Septal Defect Therapy......Page 246
Ventricular Septal Defect Closure......Page 248
Percutaneous Closure of Postinfarction Ventricular Septal Defect......Page 250
Patent Foramen Ovale Closure From the Right Internal Jugular Vein......Page 252
Pulmonary Homograft Therapy......Page 254
Left Atrial Appendage Closure With Watchman......Page 256
Treatment of a Chicken Wing Left Atrial Appendage......Page 258
Pearls From a Case of Left Atrial Appendage Closure......Page 260
Residual Leak Treatment After Left Atrial Appendage Closure......Page 262
Closure of Multiple Pseudoaneurysms in the Ascending Aorta......Page 264
Apical Pseudoaneurysm Closure......Page 266
Transventricular Therapy of Pulmonary Homograft......Page 268
Left-to-Right Atrial Shunting Device for Management of Heart Failure With Preserved Ejection Fraction......Page 270
Closure of Eccentric Atrial Septal Defect......Page 272
Transcatheter Tricuspid Valve Annuloplasty With Pledget Implantation for Severe Tricuspid Regurgitation......Page 274
Imaging for the Tricuspid Valve......Page 276
Tricuspid Transcatheter Repair......Page 278
Transcatheter Tricuspid Valve Repair With the FORMA Repair System......Page 280
Transapical Valve in Tricuspid Ring......Page 282
