PMC10328133_01
(a) Intraoperative transesophageal echocardiography shows the device (WM) entrapment under the anterior mitral leaflet (AL), (b) The device causes the obstruction of the left ventricular outflow tract, (c and d) The device was removed detaching the anterior mitral leaflet (c) and sewing it again (d)
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A moderate calcified aortic valve stenosis was also found, but in consideration of the unstable clinical conditions of the patient, we thought of performing a TAVR in a second time [Figure 1a and b]. It was impossible to catch it without de-attaching the anterior mitral leaflet [Figure 1c and d].