Cardiothoracic Surgeon Mayo Clinic Rochester, Minnesota, United States
Disclosure(s):
Kimberly A. Holst, n/a: No financial relationships to disclose
Please explain the educational or technical point that this video addresses.: Our video outlines pre-procedure and intra-procedural steps of a transcatheter mitral valve replacement in a high risk patient. The video reviews image based anatomic considerations that surgeons should understand. Intra-procedural steps are demonstrated including access, optimization of trans-septal puncture, imaging considerations, crossing previous mitral prosthesis, and TMVR valve deployment.
Please provide a 250 word summary of the surgical video being submitted.: This video is an overview of transcatheter mitral valve replacement and includes key concepts that should be understood while considering options for mitral valve replacement in patients. The case shows an approach to MVR in a high risk patient with previous mitral bioprosthesis including pre-procedural anatomic consideration, optimizing intra-procedural management including use of conscious sedation, and how to perform TMVR and evaluate outcomes.
Learning Objectives:
To understand anatomic considerations of transcatheter mitral valve replacement.
To understand key procedural steps of transcatheter mitral valve replacement.
To understand how to assess outcomes of transcatheter valve replacement with echocardiography and direct pressure monitoring.
