Structural Heart Cases: A Color Atlas of Pearls and Pitfall, 2nd Edition

• • Includes ground-breaking trials such as TRILUMINATE pivotal trialfor transcatheter tricuspidvalve repair • new therapies include Pascal (a transcatheter edge-to-edge repair device); transcatheter chordal repair with Gore, Cardiomech, Harpoon, and NeoChord; and transcatheter mitral valve replacement therapies (e.g., AltaValve, Cephea, M3, Evoque EOS among many others. • Includes updated technologies for tricuspid therapy, such as CardioBand, TriClip, Pascal ACE/P10, Intrepid TTVR, vDyne, among many others. • New sections on electrocautery and valve-in-valve therapy.

Section 1: Native mitral valve disease Multi-planar reconstruction imaging to determine suitability for transcatheter repair Transcatheter repair for a paucity of leaflet tissue Transseptal height challenge and success Mitral leaflet-repair mismatch success Cleft clipping An imaging save in transcatheter mitral therapy Percutaneous repair in setting of dehisced mitral ring Low transseptal puncture and transcatheter success Use of aorta hugger to treat mitral regurgitation Transcatheter repair of mitral regurgitation with Pascal Cardiogenic shock and save with transcatheter mitral repair Papillary muscle rupture and transcatheter mitral repair Complicated transcatheter repair of mitral regurgitation with Pascal Recurrent MR after prior transcatheter repair Mitral regurgitation and cor triatriatum Dehisced mitral ring Sheath won’t cross atrial septum Chordal placement for repair of mitral regurgitation (Pipeline) Transcatheter chordal placement for repair of mitral regurgitation (NeoChord) Transfemoral mitral valve replacement with Cephea Transfemoral mitral valve replacement with Intrepid Transfemoral mitral valve replacement with Evoque EOS Transfemoral mitral valve replacement with AltaValve Transfemoral mitral valve replacement with M3 Transfemoral mitral valve replacement with HighLife Transfemoral mitral valve replacement with InnoValve Percutaneous mitral ring placement (Amend) Success with severe mitral annular calcification Section 2: Native aortic valve disease Coronary rescue after TAVR Percutaneous treatment of aortic annular rupture Success for high implant with TAVR Horizontal aorta and TAVR Cusp-overlap vs. 3 cusp view for prosthesis implantation Success in bicuspid disease transcatheter therapy Type 0 bicuspid therapy Left main embolization during TAVR Novel implant optimization Balloon expandable TAVR in extreme horizontal heart Early recognition of cardiac tamponade Unsuccessful bicuspid therapy with TAVR High risk TAVR for native AR therapy Overcoming challenges with bicuspid disease transcatheter therapy Unstable regurgitation, prior aortic root surgery, and percutaneous therapy Pop-out management Aortic valve replacement with the Evolut FX system Aortic valve replacement with the Sapien X4 Aortic valve replacement with the Acurate Aortic valve replacement with the Navitor Transcatheter treatment of aortic regurgitation (JenaValve) Transcatheter treatment of aortic regurgitation (J Valve) Section 3: Native tricuspid valve disease Imaging for transcatheter repair or tricuspid regurgitation Classification of tricuspid leaflet anatomy for repair ICE methods for success with transcatheter tricuspid repair Inverting MitraClip for tricuspid disease Transcatheter repair of tricuspid regurgitation with TriClip Transcatheter repair of tricuspid regurgitation with Pascal Left groin vs. right groin for transcatheter tricuspid repair Horizontal heart and tricuspid success CIED lead manipulation for tricuspid eligibility Reverse septal hugger maneuver Immobilization of chordal structures with leadless devices Treatment of multiple coaptation planes Degenerative disease in tricuspid regurgitation treated percutaneously Complicated tricuspid therapy Complex tricuspid valve repair Success with intracardiac echo for tricuspid regurgitation Standalone ICE for tricuspid therapy ICE imaging saved the case Heterotopic tricuspid valve replacement (TricValve) Percutaneous tricuspid ring placement (Cardioband) Heterotopic tricuspid valve replacement (Croi Valve) Transfemoral tricuspid valve replacement with vDyne Transfemoral tricuspid valve replacement with Evoque Transfemoral tricuspid valve replacement with Intrepid Section 4: LAAC, congenital, and pulmonary ICE-guided left atrial appendage closure Left atrial appendage thrombosis management LAAC leak therapy #1 LAAC leak therapy #2 Wandering occluder retrieval Shallow depth and success Coronary risk during congenital implantation Novel LAAC closure (LAMINAR) Challenging LAAC closure LAAC device mismatch Catheter choice and LAAC success Chicken wing therapy LAAC malposition management Complex alcohol septal ablation for fixed surgical prosthetic LVOT obstruction 3D contrast imaging for alcohol septal ablation Percutaneous pulmonary valve replacement (Harmony) Coronary risk with pulmonary valve replacement Percutaneous pulmonary valve replacement (Alterra) Section 5: Pseudoaneurysms, defects, and paravalvular prosthetic regurgitation Ascending aortic pseudoaneurysm Aortic root pseudoaneurysm Subaortic root pseudoaneurysm Acquired Gerbode repair Intervalvular fibrosa plugging Percutaneous therapy of aorta-to-left atrial fistula LV vent perforation, pseudoaneurym and cardiogenic shock Fusion imaging and treatment of LVOT pseudoaneurysm Mitral endocarditis and massive pseudoaneurysm RVOT pseudoaneurym therapy Rail for infarct-related VSD Challenging tricuspid valve-in-valve case Section 6: Prostheses and rings Prosthesis regret Mitral valve-in-valve Mitral valve-in-ring Difficult mitral valve-in-ring Pinwheeling and balloon valve fracturing for mitral prosthesis Mitral embolization Balloon valve fracturing for aortic prosthesis Balloon valve remodeling for aortic prosthesis Snorkel stenting PVL closure for onethird of the annulus Pacemaker lead entrapment with mitral valve in valve Tricuspid valve-in-ring emergency TAVR-in-TAVR special considerations THV in mitral rigid ring and long leaflet Leaflet overhang in TAVR-in-TAVR Intravalvular and PVL management in prior TAVR Success with Sapien-in-Evolut TAVR-in-TAVR Challenging case of Sapien-in-Acurate TAVR-in-TAVR TAVR-in-TAVR with DurAVR Section 7: Special techniques: electrocautery, shunts, and retrievals Simple BASILICA Complex BASILICA Double BASILICA Tip-to-base lampoon Base-to-tip lampoon Transcatheter mitral valve replacement in prior MitraClip Percutaneous retrieval of LAAC device SESAME for LVOT obstruction Transcaval access Levo-atrial shunt creation Maximization of neo-LVOT Alcohol septal ablation for neo-LVOT Atrial shunt for heart failure (Alleviant) Atrial shunt for heart failure (Corvia) Atrial shunt for heart failure (v-Wave) Aortic valve vegetation removal Mitral valve vegetation removal Tricuspid valve vegetation removal Imaging save during LAMPOON

Paul Sorajja, MD, FACC, FAHA, FSCAI, Director, Center for Valve and Structural Heart Disease, Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota