Volume 106, Issue 1 pp. 282-285
CASE REPORT

LAMPOON Technique and Transapical Wire Externalization During Transcatheter Mitral Valve Replacement

Elvis Brscic

Elvis Brscic

Department of Cardiology, Humanitas Gavazzeni, Bergamo, Italy

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Valentina Bernardini

Valentina Bernardini

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

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Alfonso Agnino

Alfonso Agnino

Division of Minimally Invasive and Video-Assisted Cardiac Surgery, Humanitas Gavazzeni, Bergamo, Italy

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Davide Cao

Corresponding Author

Davide Cao

Department of Cardiology, Humanitas Gavazzeni, Bergamo, Italy

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

Correspondence: Davide Cao ([email protected])

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First published: 21 April 2025

ABSTRACT

A 74-year-old woman with failed mitral surgical repair underwent transcatheter mitral valve-in-ring replacement. Pre-procedural assessment highlighted a substantial risk for valve misalignment and left ventricular outflow obstruction. Electrosurgical laceration of the anterior mitral leaflet to prevent outflow obstruction (LAMPOON) technique and transapical wire externalization for valve deployment were successfully employed to prevent these complications.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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