Transseptal BATMAN for High-Risk Valve-in-Ring Procedures

• DOI: 10.1016/j.jaccas.2023.102200
• Publication Date: 2024-01-09T08:10:42Z
• Authors: Paolo Denti; Matteo Saccocci; Nicola Buzzatti; Guido Ascione; Davide Margonato; Pamela Gatto; Altin Palloshi; Cristiano Sarais; Matteo Longoni; Francesco Maisano
• Keywords: mitral valve; 03 medical and health sciences; 0302 clinical medicine; mitral surgery; RC666-701; TMVR; Diseases of the circulatory (Cardiovascular) system; LVOT obstruction; valve in ring; mitral repair failure

Valve-in-ring procedures represent a feasible solution for high-risk patients with surgical repair failure. The risk of left ventricular outflow tract obstruction increases the challenge, and transcatheter approaches to prevent it are technically demanding and often do not resolve it. We demonstrate the feasibility and safety of a transseptal balloon-assisted translocation of the anterior mitral leaflet for valve-in-ring implantation.