Prevention of LVOT Obstruction by Device-Mediated Laceration of the Anterior Mitral Valve Leaflet During TMVR

Prevention of LVOT Obstruction by Device-Mediated Laceration of the Anterior Mitral Valve Leaflet During TMVR

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Left Specialty Pipes ventricular outflow tract obstruction represents a life-threatening complication in patients undergoing transcatheter mitral valve replacement.Interventional approaches to prevent left ventricular outflow tract obstruction are complex and require exceptional procedural expertise.We demonstrate feasibility and safety of first-in-human device-mediated mechanical laceration of the anterior mitral valve leaflet prior to transapical Custom Tote Bag transcatheter mitral valve replacement.(Level of Difficulty: Advanced.).