Ismail khan’s Post

Just published: Valve-in-Valve Implantation to Seal Post-Dilation-Induced Annular Rupture in Transcatheter Aortic Valve Replacement 👉 Check out the full case here: https://okt.to/nMbNSA

Echo done by our lab on 83 yr old female presenting for baseline echo for AS possible TAVR. Emergent discovery of ascending aortic aneurysm with type 2 dissection. Changed course of treatment to ascending aorta replacement with AV valve.

Patient with Shone complex, MS, sub aortic stenosis, VSD notice the vortices at the mitral inflow and LVOT.

An intresting case, 26mm Hydra Aortic Valve was loaded and positioned across the aortic valve, confirmed by aortogram in Cuspal view RAO 27° caudal 9° & then deployed in under controlled ventricular pacing. After deployment of the valve,the hydra valve dived deep into the LV cavity. Echocardiogram showed significant paravalvular leak and aortogram confirmed that the valve was deep into the LV cavity. The Tentacle of the hydra valve was crossed using 5F Sim one catheter and Terumo wire, which was snared using a 35mm goose neck snare from the right femoral artery to form a loop holding the Tentacle. Controlled traction was applied holding both the ends of the snared wire to pull the valve upwards. The valve moved up and got anchored at the appropriate position in the annulus. 15. Hemodynamics showed good separation of the LV end diastolic pressure and aortic diastolic. PRESSURE Pre LV-200/15mmHg Pre Ao-150/65mmHg Gradient-50mmHg Post LV-160/15mmHg Post Ao-160/80mmHg Graduent-0mmHg

Interesting video of Endoscopic management of IP1 deformity with CSF otorrhoea https://lnkd.in/gHiKXVaD

Closed-loop control to replicate blood flow in an abdominal aortic model. The reference peak flow is around 30 l/min (with an average of 7.2 l/min, shown by a constant red signal) at a frequency of 67 bpm. The reference signal is represented by the yellow signal on the HMI (FR), while the actual flow at the model's entrance is shown by the red signal (F1).

Complicated Aortic Aneursyms Endo vs. Open repair :)

Decision 4a, Infraclavicular Axillary Vein cannulation In plane (long axis) approach to Axillary Vein with troubleshooting.

Nice case emphasizes the importance of TEE in transcutaneous mitral valve replacement that may even allow us to perform the whole procedure with zero radiation.

How can you tell a pseudo aortic aneurysm from a true aortic aneurysm? I’ll make another post with images for the answer!