Structural Heart Cases: A Color Atlas of Pearls and Pitfalls

Description

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. 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