Dynamic Left Ventricular Outflow Tract Obstruction Post-Transcatheter Aortic Valve Replacement

Hellmuth S vH Weich; Thadathilankal-Jess John; Lloyd Joubert; Jane Moses; Philip Herbst; Anton Doubell

doi:10.1016/j.jaccas.2021.04.035

Dynamic Left Ventricular Outflow Tract Obstruction Post-Transcatheter Aortic Valve Replacement

JACC Case Rep. 2021 Jun 16;3(6):871-874. doi: 10.1016/j.jaccas.2021.04.035. eCollection 2021 Jun.

Authors

Hellmuth S vH Weich¹, Thadathilankal-Jess John¹, Lloyd Joubert¹, Jane Moses¹, Philip Herbst¹, Anton Doubell¹

Affiliation

¹ Division of Cardiology, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.

Abstract

We describe the first case of successful management of left ventricular outflow tract obstruction developing late after transcatheter aortic valve replacement with right ventricular apical pacing. The possible mechanisms of obstruction resolution are described. (Level of Difficulty: Advanced.).

Keywords: HCM, hypertrophic cardiomyopathy; HOCM, hypertrophic obstructive cardiomyopathy; LVH, left ventricular hypertrophy; LVOT, left ventricular outflow tract; LVOTO, left ventricular outflow tract obstruction; SAM, systolic anterior motion of the mitral valve; SAVR, surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement; aortic valve; cardiomyopathy; pacemaker; valve replacement.

Publication types

Case Reports