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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 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
Table of Contents:Section I: Mitral disease Transcatheter repair - 1. Uncomplicated transcatheter mitral valve repair with MitraClip
- 2. Commissural mitral regurgitation therapy
- 3. Advanced steering in the left atrium for an aortic hugger
- 4. Transcatheter repair of ruptured papillary muscle
- 5. Optimal intraprocedural guidance for mitral therapy
- 6. Challenges of transcatheter therapy for functional mitral regurgitation
- 7. The zip-and-clip technique in transcatheter mitral valve repair
- 8. Mitral annular calcification and transcatheter mitral valve repair
- 9. Optimization for multiple clip placement
- 10. Importance of hemodynamics for assessing residual regurgitation
- 11. Use of low profile pressure wire for simultaneous left atrial pressure during repair
- 12. Barlow's valve therapy
- 13. Transcatheter mitral repair for cardiogenic shock
- 14. A space too small for additional clipping
- 15. Treatment of leaflet perforation with vascular plugs
- 16. Occluder therapy for residual mitral regurgitation after transcatheter repair
- 17. Clip-to-annuloplasty ring
- 18. Transcatheter repair of severe mitral regurgitation after surgical annuloplasty21. A difficult case of transcatheter mitral valve repair
- 22. Stuck on the atrial septum
- 23. Ensuring mitral leaflet insertion
- 24. One of my most difficult transcatheter repair cases
- 25. Single leaflet device attachment and clip embolization
- 26. Lessons learned from a difficult MitraClip case
- 27. Percutaneous treatment of ventricular dysfunction and secondary mitral regurgitation (Accucinch)
- 28. Percutaneous annuloplasty for severe mitral regurgitation (MitraAlign)
- 29. Left ventricular therapy for mitral regurgitation (Myocor)
- 30. Coronary sinus approach for mitral regurgitation (Carillon)
- 31. Plugging a hole near a mitral surgical ring
- 32. Anatomical intelligence and image fusion for image guidance of transcatheter mitral valve repair
Valve replacement - 33. Computed tomography imaging for transcatheter mitral replacement
- 34. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Twelve)
- 35. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tendyne)
- 36. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tiara)
- 37. Antegrade valve replacement in severe mitral annular calcification
- 38. Self expanding prosthesis for severe mitral annular calcification
- 39. Retrograde valve replacement in severe mitral annular calcification with a rail
- 40. Management of LVOT obstruction from mitral valve replacement
- 41. Transcatheter valve placement in a mitral ring
Balloon commissurotomy - 42. Hemodynamic assessment of mitral disease
- 43. Balloon mitral valvuloplasty for rheumatic mitral stenosis
- 44. Rupture of mitral valve with balloon mitral valvuloplasty
- 45. The banking technique for Inoue balloon movement
Section II Aortic valve disease Valve replacement - 46. Caseous mitral annular calcification distorting the aortic annulus
- 47. Transfemoral balloon-expandable transcatheter aortic valve replacement (Sapien 3)
- 48. Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis
- 49. Transvenous antegrade transcatheter aortic valve replacement
- 50. Valve embolization in transcatheter aortic valve replacement
- 51. Transcatheter aortic valve therapy for ascending aortic dissection with aortic regurgitation
- 52. Superior placement to overcome severe left ventricular outflow tract calcification
- 53. Retrieval of transaortic sheath marker loss
- 54. Left ventricular perforation during transcatheter aortic valve replacement
- 55. Subaortic ring therapy
- 56. Bicuspid aortic valve therapy - transcatheter challenges
- 57. Transcatheter aortic valve-in-valve therapy with high risk of coronary obstruction
- 58. A difficult case of transcatheter aortic valve replacement
- 59. Valve embolization during transcatheter aortic therapy
- 60. Transcaval transcatheter aortic valve replacement
- 61. Subclavian management during transcatheter aortic valve replacement
- 62. Rapid ventricular pacing and demise of left ventricular function
- 63. Pure aortic regurgitation treatment
- 64. Aortic regurgitation treatment in the presence of a left ventricular assist device
- 65. Prosthetic valve thrombosis
- 66. Fractures and twists during transcatheter aortic valve implantation
- 67. Transcatheter aortic valve therapy without pre-procedural computed tomography
Section III Prosthetic valve Paravalvular regurgitation 68. Computed tomography for paravalvular leak closure- 69. Retrograde repair of aortic paravalvular regurgitation
- 70. Retrograde repair of mitral paravalvular regurgitation
- 71. Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique
- 72. Antegrade repair of mitral paravalvular regurgitation
- 73. Benefit of accurate transseptal puncture in paravalvular closure
- 74. Challenging echocardiographic imaging for leak closure
- 75. Coronary dissection from paravalvular leak closure
- 76. Treatment of Coronary Obstruction after Paravalvular Leak Closure
- 77. Papillary muscle rupture during paravalvular leak closure
- 78. Step up technique with coronary guidewire use for paravalvular leak closure
- 79. The anchor wire technique for aortic paravalvular leak closure
- 80. Venous-arterial rail and anchor
- 81. Simultaneous plug placement for paravalvular leaks
- 82. Closure of aorta to right ventricle fistula
- 83. The aortic-arterial rail technique
- 84. Repair of paravalvular regurgitation in a balloon-expanding prosthesis
Valve-in-valve - 85. Mitral valve-in-valve therapy with an apical rail
- 86. Antegrade mitral valve-in-valve therapy
- 87. Bioprosthetic valve fracture at the time of valve-in-valve TAVR
- 88. Self-expanding prosthesis for aortic valve-in-valve
- 89. Small prosthesis therapy
- 90. Transcatheter valve-in-valve therapy for tricuspid disease
- 91. Complex self-expanding aortic valve therapy
- 92. A very difficult case of valve-in-valve therapy
- 93. Antegrade balloon-expandable valve for tricuspid valve-in-valve therapy
- 94. Complex tricuspid valve-in-valve therapy
- 95. Fusion imaging for apical access and mitral valve placement
- 96. Fusion Imaging for Mitral Valve-in-Valve Replacement
- 97. Challenging case of surgical mitral ring therapy
Section IV Cardiomyopathy Hypertrophic cardiomyopathy - 98. Mitral valve abnormalities in hypertrophic cardiomyopathy
- 99. Closure of eccentric atrial septal defect" and place in congenital section
- 100. Reversed pulsus paradoxus
- 101. Percutaneous mitral valve repair in hypertrophic cardiomyopathy
- 102. Recurrent obstruction after percutaneous plication in hypertrophic cardiomyopathy
- 103. Complicated alcohol septal ablation
- 104. Untoward myocardial targeting with contrast during alcohol septal ablation
- 105. Case selection for alcohol septal ablation
- 106. Assessment of aortic stenosis in hypertrophic cardiomyopathy
Dilated cardiomyopathy - 107. Volume reduction through infarct exclusion
Section V Congenital abnormalities, pseudoaneurysms, and shunts
Patent ductus arteriosus- 108. Closure of patent ductus arteriosus
Patent foramen ovale- 109. Complicated patent foramen ovale closure
- 110. Techniques of ASD Closure with Deficient Rims
- 111. Closure of patent foramen ovale (Helex)
Coarctation of the aorta- 112. Transcatheter open-cell stent implantation for treatment of native coarctation of the aorta
Ventricular septal defect- 113. Transcatheter device closure of a post myocardial infarction ventricular septal defect
- 114. Gerbode therapy
- 115. Congenital muscular ventricular septal defect closure
- 116. Treatment of post-infarct ventricular septal defect
- 117. Patent foramen ovale closure from the right internal jugular vein
Pulmonary- 118. Pulmonary homograft therapy
- 119. Treatment of a chicken wing left atrial appendage
- 120. Complicated left atrial appendage closure
- 121. Pearls from a case of left atrial appendage closure
- 122. Residual leak treatment after left atrial appendage closure
Pseudoaneurysm- 123. Closure of multiple pseudoaneurysms in the ascending aorta
- 124. Apical pseudoaneurysm
- 125. Transventricular therapy of pulmonary homograft
Atrial shunt creation- 126. Induction of left-to-right atrial shunting for heart failure (Corvia)
Section VI Tricuspid disease
Tricuspid regurgitation- 127. Transcatheter tricuspid valve annuloplasty with pledgets implantation for severe tricuspid regurgitation
- 128. Imaging for the tricuspid valve: tips and techniques
- 129. Tricuspid transcatheter repair
- 130. Transcatheter tricuspid valve repair with the FORMA Repair System
- 131. Transapical valve in tricuspid ring
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