Open AccessPreprocedural imaging for transcatheter mitral valve‐in‐valve replacement: Planning makes perfect
Author(s) -
Van De Bruaene Alexander,
De Buck Stijn,
Verbrugghe Peter,
Dubois Christophe
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5392
Subject(s) - medicine , ventricular outflow tract obstruction , mitral valve , ventricular outflow tract , mitral valve replacement , cardiology , valve replacement , heart valve , radiology , stenosis
Transcatheter mitral valve‐in‐valve replacement (TMViVR) in degenerated bioprostheses or valvular rings shows promise as an alternative to surgical MVR in selected high‐risk patients. However, these procedures are particularly challenging given the complex anatomy of the mitral valve apparatus and the surrounding structures, potentially causing LV outflow tract obstruction (LVOTO). Preprocedural planning with virtual implantation and planimetric estimation of the neo‐LVOT at end‐systole is crucial for improving procedural results. In this case, we also include a dynamic evaluation of the neo‐LVOT and implement virtual reality imaging for immersive assessment of the implanted valve.