scholarly journals Concomitant decalcification of the anterior mitral leaflet via the aortic annulus during aortic valve replacement for significant aortic and mitral stenoses

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Akihisa Furuta ◽  
Shogo Mukai ◽  
Hironobu Morimoto ◽  
Junya Kitaura ◽  
Daisuke Futagami
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Annulus ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet

scholarly journals Perforated mitral valve aneurysm after aortic valve replacement due to inadvertent suturing of the anterior mitral leaflet

2004 ◽  
Vol 27 (2) ◽  
pp. 90-90
Author(s):  
Richard A. Kerensky ◽  
Vedat Davutoglu ◽  
Serdar Soydinc ◽  
Yusuf Sezen ◽  
Mehmet Aksoy
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet

Concomitant Gerbode-Like Defect and Anterior Mitral Leaflet Perforation after Aortic Valve Replacement for Endocarditis

2013 ◽  
Vol 30 (8) ◽  
pp. E231-E235 ◽  
Author(s):  
Cüneyt Toprak ◽  
Gokhan Kahveci ◽  
Suzan Akpinar ◽  
Mehmet Mustafa Tabakçi ◽  
Yeliz Güler
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet

Balloon-Augmented Leaflet Modification With Bioprosthetic or Native Aortic Scallop Intentional Laceration to Prevent Iatrogenic Coronary Artery Obstruction and Laceration of the Anterior Mitral Leaflet to Prevent Outflow Obstruction: Benchtop Validation and First In-Man Experience

2021 ◽  
Author(s):  
Emily Perdoncin ◽  
Christopher G. Bruce ◽  
Vasilis C. Babaliaros ◽  
Dursun Korel Yildirim ◽  
Jeremiah P. Depta ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Left Ventricular ◽  
Mitral Leaflet ◽  
Outflow Obstruction ◽  
Anterior Mitral Leaflet ◽  
Transcatheter Aortic Valve ◽  
Transcatheter Mitral Valve Replacement

Background: Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction (BASILICA) and laceration of the anterior mitral leaflet to prevent outflow obstruction (LAMPOON) reduce the risk of coronary and left ventricular outflow obstruction obstruction during transcatheter aortic valve replacement and transcatheter mitral valve replacement. Despite successful laceration, BASILICA or LAMPOON may fail to prevent obstruction caused by inadequate leaflet splay in patients having challenging anatomy such as very small valve-to-coronary distance, diffusely calcified, rigid leaflets, or undergoing transcatheter aortic valve replacement inside existing transcatheter aortic valve replacement. We describe a novel technique of balloon-augmented (BA) leaflet laceration to enhance leaflet splay. Methods: We measured the incremental leaflet splay from BA-BASILICA in vitro. From November 2019 to March 2021, 16 patients underwent BA-BASILICA and 4 BA-LAMPOON at 3 centers. Results: BA-BASILICA increased benchtop leaflet tip splay 17%, maximum splay angle 30%, and splay area 23%, resulting in a more rounded apex and larger effective area. Sixteen patients at risk for inadequate BASILICA leaflet splay, including 4 transcatheter aortic valve replacement inside existing transcatheter aortic valve replacement, underwent BA-BASILICA. All had successful leaflet laceration. One had coronary obstruction requiring immediate orthotopic stenting. Two underwent elective orthotopic coronary stenting through the transcatheter valve cells for leaflet prolapse without coronary ischemia. There were no deaths during the procedure or at 30 days. Four patients at risk for inadequate anterior mitral leaflet splay underwent BA-LAMPOON. All had successful target leaflet laceration without left ventricular outflow obstruction obstruction or procedural death. One died within 30 days. Conclusions: BA leaflet laceration enhances leaflet splay in vitro and may allow transcatheter aortic valve replacement and transcatheter mitral valve replacement in patients otherwise ineligible for traditional BASILICA or LAMPOON due to challenging anatomy.

scholarly journals Perforation of the Anterior Mitral Leaflet After Aortic Valve Replacement With Root Enlargement

2017 ◽  
Vol 104 (4) ◽  
pp. e345-e346 ◽  
Author(s):  
Ersin Kadirogullari ◽  
Burak Onan ◽  
Salih Guler ◽  
Korhan Erkanli
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet

Impact of Aortic Annulus Enlargement on the Outcomes of Aortic Valve Replacement: A Meta-analysis

2020 ◽  
Author(s):  
Michel Pompeu B.O. Sá ◽  
Konstantin Zhigalov ◽  
Luiz Rafael P. Cavalcanti ◽  
Antonio C. Escorel Neto ◽  
Sérgio C. Rayol ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Meta Analysis ◽  
Aortic Annulus

Two-Directional Aortic Annular Enlargement for Aortic Valve Replacement in the Small Aortic Annulus

1997 ◽  
Vol 63 (1) ◽  
pp. 261-263 ◽  
Author(s):  
Masaki Otaki, MD ◽  
Hidetaka Oku, MD ◽  
Susumu Nakamoto, MD ◽  
Hitoshi Kitayama, MD ◽  
Masao Ueda, MD ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Annulus ◽  
Small Aortic Annulus
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