Ludwig Sebastian, Kalbacher Daniel, Waldschmidt Lara, Schaefer Andreas, Modine Thomas, Dvir Danny, Carasso Shemy, Denti Paolo, Schofer Niklas, Conradi Lenard
Department of Cardiology, University Heart & Vascular Center Hamburg, Hamburg, Germany.
German Center for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany.
JACC Case Rep. 2023 May 11;16:101873. doi: 10.1016/j.jaccas.2023.101873. eCollection 2023 Jun 21.
Left 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 transcatheter mitral valve replacement. ().
左心室流出道梗阻是经导管二尖瓣置换术患者面临的一种危及生命的并发症。预防左心室流出道梗阻的介入方法复杂,需要特殊的操作专业技能。我们展示了在经心尖经导管二尖瓣置换术前,首例人体使用装置介导的二尖瓣前叶机械撕裂术的可行性和安全性。()