Structural Heart Cases

Dr. Sorajja joined Allina Health Minneapolis Heart Institute - Minneapolis in 2013. He was previously a professor of medicine at Mayo Clinic before he left to join Minneapolis Heart Institute®. Dr. Sorajja is the author of over 100 published manuscripts and book chapters, and is a national speaker in the areas of valvular heart disease, hypertrophic cardiomyopathy and complex hemodynamics. Dr. Sorajja's special interest is structural heart interventions, such as transcatheter aortic replacement (TAVR), balloon valvuloplasty, paravalvular leak repair, percutaneous valve implantation, and other similar therapies. Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI Dr. Brilakis is Director of the Center for Complex Coronary Interventions at the Minneapolis Heart Institute and the Center for. After graduating from Lycee Leonin de Patissia, Dr. Brilakis received his medical degree from the National Kapodistrian University of Athens, Greece. He trained in Internal Medicine, Cardiovascular Diseases and Interventional Cardiology at the Mayo Clinic. He also completed a Masters in Clinical Research at the Mayo Clinic and a PhD in Clinical Research at the National Kapodistrian University of Athens, Greece. He served as Director of the VA North Texas Healthcare System Cardiac Catheterization Laboratories from 2004 to 2016. Dr. Brilakis leads a large clinical trial group investigating treatment of chronic total occlusions, prevention and treatment of saphenous vein graft disease, prevention and management of complications, intracoronary imaging, antiplatelet treatment optimization post coronary stenting, radiation safety in the catheterization laboratory, and implementation of novel technologies in healthcare. He is Associate Editor for Circulation and on the editorial board of several other journals and on the Board of Directors of the Cardiovascular Innovations Foundation. He has authored or co-authored over 600 manuscripts and the Manual of CTO Interventions, now in its 2nd edition. He and is lecturing and proctoring at several institutions in the United States and abroad.

• Section I: Mitral diseaseTranscatheter repair1. Uncomplicated transcatheter mitral valve repair with MitraClip2. Commissural mitral regurgitation therapy3. Advanced steering in the left atrium for an aortic hugger4. Transcatheter repair of ruptured papillary muscle5. Optimal intraprocedural guidance for mitral therapy6. Challenges of transcatheter therapy for functional mitral regurgitation7. The zip-and-clip technique in transcatheter mitral valve repair8. Mitral annular calcification and transcatheter mitral valve repair9. Optimization for multiple clip placement10. Importance of hemodynamics for assessing residual regurgitation11. Use of low profile pressure wire for simultaneous left atrial pressure during repair12. Barlow's valve therapy13. Transcatheter mitral repair for cardiogenic shock14. A space too small for additional clipping15. Treatment of leaflet perforation with vascular plugs16. Occluder therapy for residual mitral regurgitation after transcatheter repair17. Clip-to-annuloplasty ring18. Transcatheter repair of severe mitral regurgitation after surgical annuloplasty19. Unsuccessful transcatheter repair after prior cardiac surgery20. MitraClip in a patient with radiation heart disease 21. A difficult case of transcatheter mitral valve repair22. Stuck on the atrial septum23. Ensuring mitral leaflet insertion24. One of my most difficult transcatheter repair cases25. Single leaflet device attachment and clip embolization26. Lessons learned from a difficult MitraClip case27. Percutaneous treatment of ventricular dysfunction and secondary mitral regurgitation (Accucinch)28. Percutaneous annuloplasty for severe mitral regurgitation (MitraAlign)29. Left ventricular therapy for mitral regurgitation (Myocor)30. Coronary sinus approach for mitral regurgitation (Carillon)31. Plugging a hole near a mitral surgical ring32. Anatomical intelligence and image fusion for image guidance of transcatheter mitral valve repair  Valve replacement33. Computed tomography imaging for transcatheter mitral replacement34. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Twelve)35. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tendyne)36. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tiara)37. Antegrade valve replacement in severe mitral annular calcification38. Self expanding prosthesis for severe mitral annular calcification39. Retrograde valve replacement in severe mitral annular calcification with a rail40. Management of LVOT obstruction from mitral valve replacement41. Transcatheter valve placement in a mitral ring  Balloon commissurotomy42. Hemodynamic assessment of mitral disease43. Balloon mitral valvuloplasty for rheumatic mitral stenosis44. Rupture of mitral valve with balloon mitral valvuloplasty45. The banking technique for Inoue balloon movementSection II Aortic valve diseaseValve replacement46.  Caseous mitral annular calcification distorting the aortic annulus 47. Transfemoral balloon-expandable transcatheter aortic valve replacement (Sapien 3)48. Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis49. Transvenous antegrade transcatheter aortic valve replacement50. Valve embolization in transcatheter aortic valve replacement51. Transcatheter aortic valve therapy for ascending aortic dissection with aortic regurgitation52. Superior placement to overcome severe left ventricular outflow tract calcification53. Retrieval of transaortic sheath marker loss54. Left ventricular perforation during transcatheter aortic valve replacement55. Subaortic ring therapy 56. Bicuspid aortic valve therapy - transcatheter challenges57. Transcatheter aortic valve-in-valve therapy with high risk of coronary obstruction58. A difficult case of transcatheter aortic valve replacement 59. Valve embolization during transcatheter aortic therapy 60. Transcaval transcatheter aortic valve replacement61. Subclavian management during transcatheter aortic valve replacement 62. Rapid ventricular pacing and demise of left ventricular function63. Pure aortic regurgitation treatment64. Aortic regurgitation treatment in the presence of a left ventricular assist device 65. Prosthetic valve thrombosis66. Fractures and twists during transcatheter aortic valve implantation67. Transcatheter aortic valve therapy without pre-procedural computed tomography  Section III Prosthetic valveParavalvular regurgitation68. Computed tomography for paravalvular leak closure 69. Retrograde repair of aortic paravalvular regurgitation70. Retrograde repair of mitral paravalvular regurgitation71. Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique72. Antegrade repair of mitral paravalvular regurgitation73. Benefit of accurate transseptal puncture in paravalvular closure74. Challenging echocardiographic imaging for leak closure75. Coronary dissection from paravalvular leak closure76. Treatment of Coronary Obstruction after  Paravalvular Leak Closure 77. Papillary muscle rupture during paravalvular leak closure78. Step up technique with coronary guidewire use for paravalvular leak closure79. The anchor wire technique for aortic paravalvular leak closure80. Venous-arterial rail and anchor81. Simultaneous plug placement for paravalvular leaks82. Closure of aorta to right ventricle fistula83. The aortic-arterial rail technique84. Repair of paravalvular regurgitation in a balloon-expanding prosthesisValve-in-valve85. Mitral valve-in-valve therapy with an apical rail86. Antegrade mitral valve-in-valve therapy87. Bioprosthetic valve fracture at the time of valve-in-valve TAVR88. Self-expanding prosthesis for aortic valve-in-valve89. Small prosthesis therapy90. Transcatheter valve-in-valve therapy for tricuspid disease91. Complex self-expanding aortic valve therapy92. A very difficult case of valve-in-valve therapy93. Antegrade balloon-expandable valve for tricuspid valve-in-valve therapy94. Complex tricuspid valve-in-valve therapy95. Fusion imaging for apical access and mitral valve placement96. Fusion Imaging for Mitral Valve-in-Valve Replacement97. Challenging case of surgical mitral ring therapy Section IV CardiomyopathyHypertrophic cardiomyopathy98. Mitral valve abnormalities in hypertrophic cardiomyopathy 99. Closure of eccentric atrial septal defect" and place in congenital section100. Reversed pulsus paradoxus101. Percutaneous mitral valve repair in hypertrophic cardiomyopathy102. Recurrent obstruction after percutaneous plication in hypertrophic cardiomyopathy103. Complicated alcohol septal ablation104. Untoward myocardial targeting with contrast during alcohol septal ablation105. Case selection for alcohol septal ablation106. Assessment of aortic stenosis in hypertrophic cardiomyopathyDilated cardiomyopathy107. Volume reduction through infarct exclusionSection V Congenital abnormalities, pseudoaneurysms, and shuntsPatent ductus arteriosus108. Closure of patent ductus arteriosusPatent foramen ovale109. Complicated patent foramen ovale closure110. Techniques of ASD Closure with Deficient Rims111. Closure of patent foramen ovale (Helex)Coarctation of the aorta112. Transcatheter open-cell stent implantation for treatment of native coarctation of the aortaVentricular septal defect113. Transcatheter device closure of a post myocardial infarction ventricular septal defect 114. Gerbode therapy115. Congenital muscular ventricular septal defect closure116. Treatment of post-infarct ventricular septal defect117. Patent foramen ovale closure from the right internal jugular veinPulmonary118. Pulmonary homograft therapy 119. Treatment of a chicken wing left atrial appendage120. Complicated left atrial appendage closure121. Pearls from a case of left atrial appendage closure122. Residual leak treatment after left atrial appendage closurePseudoaneurysm123. Closure of multiple pseudoaneurysms in the ascending aorta124. Apical pseudoaneurysm125. Transventricular therapy of pulmonary homograftAtrial shunt creation126. Induction of left-to-right atrial shunting for heart failure (Corvia)Section VI Tricuspid diseaseTricuspid regurgitation127. Transcatheter tricuspid valve annuloplasty with pledgets implantation for severe tricuspid regurgitation128. Imaging for the tricuspid valve: tips and techniques129. Tricuspid transcatheter repair130. Transcatheter tricuspid valve repair with the FORMA Repair System131. Transapical valve in tricuspid ring

"The quality of this book and the accompanying website is excellent. This is an essential addition to the library of interventional cardiologists.It describes techniques that are unique as well as techniques that serve as a foundation for understanding other methods."-Zachary Dowdy, MD (Ochsner Clinic Foundation) Doody's Score: 98- 5 Stars!