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
1. Introduction - p. 1 2. Uncomplicated Transcatheter Mitral Valve Repair With MitraClip - p. 2 3. Commissural Mitral Regurgitation Therapy - p. 4 4. Advanced Steering in the Left Atrium for an Aortic Hugger - p. 6 5. Transcatheter Repair of Ruptured Papillary Muscle - p. 8 6. Optimal Intraprocedural Guidance for Mitral Therapy - p. 10 7. Challenges of Transcatheter Therapy for Functional Mitral Regurgitation - p. 12 8. The Zip-and-Clip Technique in Transcatheter Mitral Valve Repair - p. 14 9. Mitral Annular Calcification and Transcatheter Mitral Valve Repair - p. 16 10. Optimization of Multiple Clip Placement - p. 18 11. Importance of Hemodynamics for Assessing Residual Regurgitation - p. 20 12. Use of Low-Profile Catheter for Continuous Left Atrial Pressure Monitoring During Transcatheter Mitral Valve Repair - p. 22 13. Barlow's Valve Therapy - p. 24 14. Acute Left Ventricular Dysfunction and Recovery After Transcatheter Mitral Repair - p. 26 15. A Space Too Small for Additional Clipping - p. 28 16. Treatment of Leaflet Perforation With Vascular Plugs - p. 30 17. Occluder Therapy for Residual Mitral Regurgitation After Transcatheter Repair - p. 32 18. Clip-to-Annuloplasty Ring - p. 34 19. Transcatheter Repair of Severe MR After Surgical Repair - p. 36 20. Unsuccessful Transcatheter Mitral Repair After Prior Cardiac Surgery - p. 38 21. MitraClip in a Patient with Radiation Heart Disease - p. 40 22. A Difficult Case of Transcatheter Mitral Valve Repair - p. 42 23. Stuck on the Atrial Septum - p. 44 24. Ensuring Mitral Leaflet Insertion - p. 46 25. Transcatheter Management of Failed Mitral Valve Repair - p. 48 26. Single Leaflet Device Attachment - p. 50 27. Lessons Learned From a Difficult MitraClip Case - p. 52 28. Percutaneous Treatment of Left Ventricular Dysfunction and Secondary Mitral Regurgitation (AccuCinch Ventriculoplasty System) - p. 54 29. Percutaneous Annuloplasty for Severe Mitral Regurgitation with Cardioband - p. 56 30. Left Ventricular Therapy for Functional MR - p. 58 31. Percutaneous Mitral Valve Annuloplasty With the Carillon Device for Functional Mitral Regurgitation - p. 60 32. Plugging a Hole Near a Mitral Surgical Ring - p. 62 33. Anatomical Intelligence and Image Fusion for Image Guidance of Transcatheter Mitral Valve Repair - p. 64 34. Subclinical Valve Leaflet Thrombosis - p. 66 35. Retrograde Transcatheter Mitral Valve Replacement (Intrepid) - p. 68 36. Retrograde Transcatheter Mitral Valve Replacement (Tendyne) - p. 70 37. Retrograde Transcatheter Mitral Valve Replacement for Mitral Regurgitation (Tiara) - p. 72 38. Complex Transcatheter Repair of Mitral Regurgitation Due to Postinfarction Papillary Muscle Rupture - p. 74 39. Transseptal Transcatheter Mitral Valve-in-Valve - p. 76 40. Self-Expanding Prosthesis for Severe Mitral Annular Calcification - p. 78 41. Transcatheter Mitral Valve Replacement With a Dedicated Prosthesis in Severe Mitral Annular Calcification - p. 80 42. Transcatheter Aortic Valve Used for Severe Mitral Annular Calcification - p. 82 43. Management of Transcatheter Mitral Valve Replacement–Induced Left Ventricular Outflow Tract Obstruction - p. 84 44. Transcatheter Valve Placement in a Mitral Ring - p. 86 45. Hemodynamic Assessment of Mitral Disease - p. 88 46. Balloon Mitral Valvuloplasty for Rheumatic Mitral Stenosis - p. 90 47. Rupture of Mitral Valve With Balloon Mitral Valvuloplasty - p. 92 48. Balloon Mitral Valvuloplasty for Rheumatic Disease Using a Rail - p. 94 49. Aortic Valve Disease - p. 96 50. Introduction - p. 97 51. Aortic Sinus Tear With Transcatheter Aortic Valve Replacement - p. 98 52. Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis - p. 100 53. Caseous Mitral Annular Calcification Distorting the Aortic Annulus - p. 102 54. Transvenous Antegrade Transcatheter Aortic Valve Replacement - p. 104 55. Valve Embolization in Transcatheter Aortic Valve Replacement - p. 106 56. Transcatheter Aortic Valve Therapy for Ascending Aortic Dissection - p. 108 57. Valve-in-Valve Therapy for Tricuspid Bioprosthetic Failure - p. 110 58. Controlled Transcatheter Aortic Valve Replacement - p. 112 59. Left Ventricular Perforation During Transcatheter Aortic Valve Replacement - p. 114 60. Transcatheter Aortic Valve Replacement for Subaortic Ring Treatment - p. 116 61. Bicuspid Aortic Valve Therapy Transcatheter Challenges - p. 118 62. Transcatheter Aortic Valve-in-Valve Therapy With High Risk of Coronary Obstruction - p. 120 63. A Difficult Case of Transcatheter Aortic Valve Replacement - p. 122 64. Valve Embolization During Transcatheter Aortic Valve Therapy - p. 124 65. Transcaval Transcatheter Aortic Valve Replacement - p. 126 66. Subclavian Management During Transcatheter Aortic Valve Replacement - p. 128 67. Rapid Ventricular Pacing and Demise of Ventricular Function - p. 130 68. Pure Aortic Regurgitation Treatment - p. 132 69. Percutaneous Closure of Aortic Valve for Persistent Aortic Insufficiency With Left Ventricular Assist Device - p. 134 70. Recurrent Valve Thrombus Early and Late After TAVR - p. 136 71. Transcatheter Aortic Valve Therapy Without Preprocedural Computed Tomography - p. 138 72. Prosthetic Valve - p. 140 73. Introduction - p. 141 74. Cardiac Computed Tomography Evaluation of a Paravalvular Leak - p. 142 75. Retrograde Repair of Aortic Paravalvular Regurgitation - p. 144 76. Retrograde Repair of Mitral Paravalvular Regurgitation for Recurrent Paravalvular Regurgitation - p. 146 77. Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique - p. 148 78. Antegrade Repair of Mitral Paravalvular Regurgitation - p. 150 79. Benefit of Accurate Transseptal Puncture in Paravalvular Closure - p. 152 80. Challenging Echocardiographic Imaging for Paravalvular Leak Closure - p. 154 81. Coronary Dissection From Paravalvular Leak Closure - p. 156 82. Treatment of Coronary Obstruction After Paravalvular Leak Closure - p. 158 83. Papillary Muscle Rupture During Paravalvular Leak Closure - p. 160 84. Step-up Technique With Aortic Paravalvular Leak Closure - p. 162 85. The Anchor Wire Technique for Aortic Paravalvular Leak Closure - p. 164 86. Rewiring in Sequential Plug Placement for Paravalvular Regurgitation - p. 166 87. Simultaneous Plug Placement for Paravalvular Leaks - p. 168 88. Closure of Aorta to Right Ventricle Fistula - p. 170 89. The Aortic Arterial Rail Technique - p. 172 90. Repair of Paravalvular Regurgitation in a Balloon-Expanding Prosthesis - p. 174 91. Mitral Valve-in-Valve Therapy With an Apical Rail - p. 176 92. Antegrade Mitral Valve-in-Valve Therapy - p. 178 93. Bioprosthetic Valve Fracture to Facilitate Valve-in-Valve Transcatheter Aortic Valve Replacement - p. 180 94. Self-Expanding Prosthesis for Aortic Valve-in-Valve - p. 182 95. Small Prosthesis Therapy - p. 184 96. Transcatheter Valve-in-Valve Therapy Utilizing a Melody Valve for Bioprosthetic Tricuspid Valve Failure - p. 186 97. Valve-in-Valve Transcatheter Aortic Valve Replacement With a Repositionable, Self-Expanding Valve - p. 188 98. A Very Difficult Case of Valve-in-Valve Therapy - p. 190 99. Antegrade Balloon-Expandable Valve for Tricuspid Valve-in-Valve Therapy - p. 192 100. Complex Tricuspid Valve-in-Valve Therapy - p. 194 101. Fusion Imaging for Percutaneous Transapical Access - p. 196 102. Fusion Imaging for Mitral Valve-in-Valve Replacement - p. 198 103. Challenging Case of Surgical Mitral Ring Therapy - p. 200 104. Left Ventricular Outflow Tract Obstruction and Severe Reversible Ventricular Dysfunction After Valve-in-Ring Mitral Replacement - p. 202 105. Cardiomyopathy - p. 204 106. Introduction - p. 205 107. Reversed Pulsus Paradoxus - p. 206 108. Percutaneous Mitral Valve Repair in Hypertrophic Cardiomyopathy - p. 208 109. Recurrent Obstruction After Percutaneous Plication in Hypertrophic Cardiomyopathy - p. 210 110. Complicated Alcohol Septal Ablation - p. 212 111. Untoward Myocardial Targeting With Contrast During Alcohol Septal Ablation - p. 214 112. Case Selection for Alcohol Septal Ablation - p. 216 113. Assessment of Aortic Stenosis in Hypertrophic Cardiomyopathy - p. 218 114. Transcatheter Left Ventricular Volume Reduction With Parachute in a Patient With Ischemic Cardiomyopathy - p. 220 115. Congenital Abnormalities, Pseudoaneurysms, and Shunts - p. 221 116. Introduction - p. 223 117. Closure of Patent Ductus Arteriosus - p. 224 118. Complex PFO Closure Via Transseptal Puncture - p. 226 119. Clockwise Maneuver for ASD Closure - p. 228 120. Sizing Balloon to Facilitate ASD Closure - p. 230 121. Curve of Distal Sheath and Closure of ASD With Deficient Rim - p. 232 122. Closure of Patent Foramen Ovale Using a Cardioform Septal Occluder - p. 234 123. Transcatheter Open-Cell Stent Implantation for Treatment of Native Coarctation of the Aorta - p. 236 124. Transcatheter Device Closure of a Post Myocardial Infarction Ventricular Septal Defect - p. 238 125. Post-Surgical Ventricular Septal Defect Therapy - p. 240 126. Ventricular Septal Defect Closure - p. 242 127. Percutaneous Closure of Postinfarction Ventricular Septal Defect - p. 244 128. Patent Foramen Ovale Closure From the Right Internal Jugular Vein - p. 246 129. Pulmonary Homograft Therapy - p. 248 130. Left Atrial Appendage Closure With Watchman - p. 250 131. Treatment of a Chicken Wing Left Atrial Appendage - p. 252 132. Pearls From a Case of Left Atrial Appendage Closure - p. 254 133. Residual Leak Treatment After Left Atrial Appendage Closure - p. 256 134. Closure of Multiple Pseudoaneurysms in the Ascending Aorta - p. 258 135. Apical Pseudoaneurysm Closure - p. 260 136. Transventricular Therapy of Pulmonary Homograft - p. 262 137. Left-to-Right Atrial Shunting Device for Management of Heart Failure With Preserved Ejection Fraction - p. 264 138. Closure of Eccentric Atrial Septal Defect - p. 266 139. Tricuspid Disease - p. 268 140. Introduction - p. 269 141. Transcatheter Tricuspid Valve Annuloplasty With Pledget Implantation for Severe Tricuspid Regurgitation - p. 270 142. Imaging for the Tricuspid Valve - p. 272 143. Tricuspid Transcatheter Repair - p. 274 144. Transcatheter Tricuspid Valve Repair With the FORMA Repair System - p. 276 145. Transapical Valve in Tricuspid Ring - p. 278 146. Index - p. 281
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
1. Introduction - p. 1 2. Uncomplicated Transcatheter Mitral Valve Repair With MitraClip - p. 2 3. Commissural Mitral Regurgitation Therapy - p. 4 4. Advanced Steering in the Left Atrium for an Aortic Hugger - p. 6 5. Transcatheter Repair of Ruptured Papillary Muscle - p. 8 6. Optimal Intraprocedural Guidance for Mitral Therapy - p. 10 7. Challenges of Transcatheter Therapy for Functional Mitral Regurgitation - p. 12 8. The Zip-and-Clip Technique in Transcatheter Mitral Valve Repair - p. 14 9. Mitral Annular Calcification and Transcatheter Mitral Valve Repair - p. 16 10. Optimization of Multiple Clip Placement - p. 18 11. Importance of Hemodynamics for Assessing Residual Regurgitation - p. 20 12. Use of Low-Profile Catheter for Continuous Left Atrial Pressure Monitoring During Transcatheter Mitral Valve Repair - p. 22 13. Barlow's Valve Therapy - p. 24 14. Acute Left Ventricular Dysfunction and Recovery After Transcatheter Mitral Repair - p. 26 15. A Space Too Small for Additional Clipping - p. 28 16. Treatment of Leaflet Perforation With Vascular Plugs - p. 30 17. Occluder Therapy for Residual Mitral Regurgitation After Transcatheter Repair - p. 32 18. Clip-to-Annuloplasty Ring - p. 34 19. Transcatheter Repair of Severe MR After Surgical Repair - p. 36 20. Unsuccessful Transcatheter Mitral Repair After Prior Cardiac Surgery - p. 38 21. MitraClip in a Patient with Radiation Heart Disease - p. 40 22. A Difficult Case of Transcatheter Mitral Valve Repair - p. 42 23. Stuck on the Atrial Septum - p. 44 24. Ensuring Mitral Leaflet Insertion - p. 46 25. Transcatheter Management of Failed Mitral Valve Repair - p. 48 26. Single Leaflet Device Attachment - p. 50 27. Lessons Learned From a Difficult MitraClip Case - p. 52 28. Percutaneous Treatment of Left Ventricular Dysfunction and Secondary Mitral Regurgitation (AccuCinch Ventriculoplasty System) - p. 54 29. Percutaneous Annuloplasty for Severe Mitral Regurgitation with Cardioband - p. 56 30. Left Ventricular Therapy for Functional MR - p. 58 31. Percutaneous Mitral Valve Annuloplasty With the Carillon Device for Functional Mitral Regurgitation - p. 60 32. Plugging a Hole Near a Mitral Surgical Ring - p. 62 33. Anatomical Intelligence and Image Fusion for Image Guidance of Transcatheter Mitral Valve Repair - p. 64 34. Subclinical Valve Leaflet Thrombosis - p. 66 35. Retrograde Transcatheter Mitral Valve Replacement (Intrepid) - p. 68 36. Retrograde Transcatheter Mitral Valve Replacement (Tendyne) - p. 70 37. Retrograde Transcatheter Mitral Valve Replacement for Mitral Regurgitation (Tiara) - p. 72 38. Complex Transcatheter Repair of Mitral Regurgitation Due to Postinfarction Papillary Muscle Rupture - p. 74 39. Transseptal Transcatheter Mitral Valve-in-Valve - p. 76 40. Self-Expanding Prosthesis for Severe Mitral Annular Calcification - p. 78 41. Transcatheter Mitral Valve Replacement With a Dedicated Prosthesis in Severe Mitral Annular Calcification - p. 80 42. Transcatheter Aortic Valve Used for Severe Mitral Annular Calcification - p. 82 43. Management of Transcatheter Mitral Valve Replacement–Induced Left Ventricular Outflow Tract Obstruction - p. 84 44. Transcatheter Valve Placement in a Mitral Ring - p. 86 45. Hemodynamic Assessment of Mitral Disease - p. 88 46. Balloon Mitral Valvuloplasty for Rheumatic Mitral Stenosis - p. 90 47. Rupture of Mitral Valve With Balloon Mitral Valvuloplasty - p. 92 48. Balloon Mitral Valvuloplasty for Rheumatic Disease Using a Rail - p. 94 49. Aortic Valve Disease - p. 96 50. Introduction - p. 97 51. Aortic Sinus Tear With Transcatheter Aortic Valve Replacement - p. 98 52. Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis - p. 100 53. Caseous Mitral Annular Calcification Distorting the Aortic Annulus - p. 102 54. Transvenous Antegrade Transcatheter Aortic Valve Replacement - p. 104 55. Valve Embolization in Transcatheter Aortic Valve Replacement - p. 106 56. Transcatheter Aortic Valve Therapy for Ascending Aortic Dissection - p. 108 57. Valve-in-Valve Therapy for Tricuspid Bioprosthetic Failure - p. 110 58. Controlled Transcatheter Aortic Valve Replacement - p. 112 59. Left Ventricular Perforation During Transcatheter Aortic Valve Replacement - p. 114 60. Transcatheter Aortic Valve Replacement for Subaortic Ring Treatment - p. 116 61. Bicuspid Aortic Valve Therapy Transcatheter Challenges - p. 118 62. Transcatheter Aortic Valve-in-Valve Therapy With High Risk of Coronary Obstruction - p. 120 63. A Difficult Case of Transcatheter Aortic Valve Replacement - p. 122 64. Valve Embolization During Transcatheter Aortic Valve Therapy - p. 124 65. Transcaval Transcatheter Aortic Valve Replacement - p. 126 66. Subclavian Management During Transcatheter Aortic Valve Replacement - p. 128 67. Rapid Ventricular Pacing and Demise of Ventricular Function - p. 130 68. Pure Aortic Regurgitation Treatment - p. 132 69. Percutaneous Closure of Aortic Valve for Persistent Aortic Insufficiency With Left Ventricular Assist Device - p. 134 70. Recurrent Valve Thrombus Early and Late After TAVR - p. 136 71. Transcatheter Aortic Valve Therapy Without Preprocedural Computed Tomography - p. 138 72. Prosthetic Valve - p. 140 73. Introduction - p. 141 74. Cardiac Computed Tomography Evaluation of a Paravalvular Leak - p. 142 75. Retrograde Repair of Aortic Paravalvular Regurgitation - p. 144 76. Retrograde Repair of Mitral Paravalvular Regurgitation for Recurrent Paravalvular Regurgitation - p. 146 77. Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique - p. 148 78. Antegrade Repair of Mitral Paravalvular Regurgitation - p. 150 79. Benefit of Accurate Transseptal Puncture in Paravalvular Closure - p. 152 80. Challenging Echocardiographic Imaging for Paravalvular Leak Closure - p. 154 81. Coronary Dissection From Paravalvular Leak Closure - p. 156 82. Treatment of Coronary Obstruction After Paravalvular Leak Closure - p. 158 83. Papillary Muscle Rupture During Paravalvular Leak Closure - p. 160 84. Step-up Technique With Aortic Paravalvular Leak Closure - p. 162 85. The Anchor Wire Technique for Aortic Paravalvular Leak Closure - p. 164 86. Rewiring in Sequential Plug Placement for Paravalvular Regurgitation - p. 166 87. Simultaneous Plug Placement for Paravalvular Leaks - p. 168 88. Closure of Aorta to Right Ventricle Fistula - p. 170 89. The Aortic Arterial Rail Technique - p. 172 90. Repair of Paravalvular Regurgitation in a Balloon-Expanding Prosthesis - p. 174 91. Mitral Valve-in-Valve Therapy With an Apical Rail - p. 176 92. Antegrade Mitral Valve-in-Valve Therapy - p. 178 93. Bioprosthetic Valve Fracture to Facilitate Valve-in-Valve Transcatheter Aortic Valve Replacement - p. 180 94. Self-Expanding Prosthesis for Aortic Valve-in-Valve - p. 182 95. Small Prosthesis Therapy - p. 184 96. Transcatheter Valve-in-Valve Therapy Utilizing a Melody Valve for Bioprosthetic Tricuspid Valve Failure - p. 186 97. Valve-in-Valve Transcatheter Aortic Valve Replacement With a Repositionable, Self-Expanding Valve - p. 188 98. A Very Difficult Case of Valve-in-Valve Therapy - p. 190 99. Antegrade Balloon-Expandable Valve for Tricuspid Valve-in-Valve Therapy - p. 192 100. Complex Tricuspid Valve-in-Valve Therapy - p. 194 101. Fusion Imaging for Percutaneous Transapical Access - p. 196 102. Fusion Imaging for Mitral Valve-in-Valve Replacement - p. 198 103. Challenging Case of Surgical Mitral Ring Therapy - p. 200 104. Left Ventricular Outflow Tract Obstruction and Severe Reversible Ventricular Dysfunction After Valve-in-Ring Mitral Replacement - p. 202 105. Cardiomyopathy - p. 204 106. Introduction - p. 205 107. Reversed Pulsus Paradoxus - p. 206 108. Percutaneous Mitral Valve Repair in Hypertrophic Cardiomyopathy - p. 208 109. Recurrent Obstruction After Percutaneous Plication in Hypertrophic Cardiomyopathy - p. 210 110. Complicated Alcohol Septal Ablation - p. 212 111. Untoward Myocardial Targeting With Contrast During Alcohol Septal Ablation - p. 214 112. Case Selection for Alcohol Septal Ablation - p. 216 113. Assessment of Aortic Stenosis in Hypertrophic Cardiomyopathy - p. 218 114. Transcatheter Left Ventricular Volume Reduction With Parachute in a Patient With Ischemic Cardiomyopathy - p. 220 115. Congenital Abnormalities, Pseudoaneurysms, and Shunts - p. 221 116. Introduction - p. 223 117. Closure of Patent Ductus Arteriosus - p. 224 118. Complex PFO Closure Via Transseptal Puncture - p. 226 119. Clockwise Maneuver for ASD Closure - p. 228 120. Sizing Balloon to Facilitate ASD Closure - p. 230 121. Curve of Distal Sheath and Closure of ASD With Deficient Rim - p. 232 122. Closure of Patent Foramen Ovale Using a Cardioform Septal Occluder - p. 234 123. Transcatheter Open-Cell Stent Implantation for Treatment of Native Coarctation of the Aorta - p. 236 124. Transcatheter Device Closure of a Post Myocardial Infarction Ventricular Septal Defect - p. 238 125. Post-Surgical Ventricular Septal Defect Therapy - p. 240 126. Ventricular Septal Defect Closure - p. 242 127. Percutaneous Closure of Postinfarction Ventricular Septal Defect - p. 244 128. Patent Foramen Ovale Closure From the Right Internal Jugular Vein - p. 246 129. Pulmonary Homograft Therapy - p. 248 130. Left Atrial Appendage Closure With Watchman - p. 250 131. Treatment of a Chicken Wing Left Atrial Appendage - p. 252 132. Pearls From a Case of Left Atrial Appendage Closure - p. 254 133. Residual Leak Treatment After Left Atrial Appendage Closure - p. 256 134. Closure of Multiple Pseudoaneurysms in the Ascending Aorta - p. 258 135. Apical Pseudoaneurysm Closure - p. 260 136. Transventricular Therapy of Pulmonary Homograft - p. 262 137. Left-to-Right Atrial Shunting Device for Management of Heart Failure With Preserved Ejection Fraction - p. 264 138. Closure of Eccentric Atrial Septal Defect - p. 266 139. Tricuspid Disease - p. 268 140. Introduction - p. 269 141. Transcatheter Tricuspid Valve Annuloplasty With Pledget Implantation for Severe Tricuspid Regurgitation - p. 270 142. Imaging for the Tricuspid Valve - p. 272 143. Tricuspid Transcatheter Repair - p. 274 144. Transcatheter Tricuspid Valve Repair With the FORMA Repair System - p. 276 145. Transapical Valve in Tricuspid Ring - p. 278 146. Index - p. 281
