Key points The risks of surgery for severe mitral regurgitation (MR) in elderly patients and those with medical comorbidities, particularly with consideration of patient preference for quick recovery, have stimulated attempts to develop less invasive solutions. Unlike the extensive toolbox…
Key Points Clinical characteristics of the elective high-risk patient include older age, history of myocardial infarction (MI), low ejection fraction, congestive heart failure (CHF), recent hemodynamic instability, renal insufficiency, and peripheral vascular disease. High-risk angiographic characteristics for the elective patient…
Key Points Cardiogenic shock (CS) remains the leading cause of death among patients hospitalized with acute myocardial infarction (AMI). Left ventricular (LV) dysfunction accounts for most CS in AMI patients. Early restoration of perfusion to the territory supplied by the…
LEARNING OBJECTIVES 1. Review the indications for transcatheter mitral valve therapies according to American Heart Association/American College of Cardiology and European Society of Cardiology guidelines. 2. Review scoring systems for the assessment of favorable anatomy for mitral valve balloon valvuloplasty.…
Open full size image Section I: Mitral Stenosis Introduction Normal Mitral Valve Anatomy To appreciate the complexity of the mitral valve is to understand its intricate anatomical and physiologic properties. The mitral valve can be divided into several components, each…
Additional content is available online at Elsevier eBooks for Practicing Clinicians The impetus for the development of transcatheter therapies for valvular heart disease (VHD) arises from two major factors. First, a transcatheter therapy can avoid the risks associated with more…