LVOT gradient 7mmHg, mean MVG 2mmHg, no paravalvular leak. Credit to Dr Choo for the consult assistance and publishers for their innovation

@LuaySayed @ekgpdx @RajTayal2 @heartdoc45 @DrAmirKaki @chadialraies @BaoGTran @AKassier @raatassi @ramymandoMD @ShariqShamimMD Great save. Terrifying

@AHameedi @DrJayMohan @JunLiMD @HadyLichaaMD @JayMathewsMD @AmputationSuck @drochohan @EricSecemskyMD @jcgeorgemd @agtruesdell @sahilparikhmd @ShariqShamimMD What alternative are you suggesting? AirTran bypass can always be considered if this initial percutaneous approach fails

@DrJayMohan @JunLiMD @HadyLichaaMD @JayMathewsMD @AmputationSuck @drochohan @EricSecemskyMD @jcgeorgemd @agtruesdell @sahilparikhmd @ShariqShamimMD Nice work Jay

@drochohan @DrJayMohan @HadyLichaaMD @Thomas_TuMD @LuaySayed @InariMedical What’s your level of concern removing a 15yo Trapease?

Accessory lobe after watchman placement. 18mm PFO occluder #CardioTwitter @sean_stewartmd @Norton_Health @IvanHansonMD @amrabbasmd @PCRonline @BSCCardiology @MrsAshStrauss

74yoF ESRD p/w unstable angina. Surgical turndown for calcified aorta. DK crush Lcx/ramus, IVUS with no Ostial LAD involvement, “Trissing” final inflation #cardiotwitter @sean_stewartmd

74yoF w hx 28mm Physio MVR, severe MS MVG 13mmhg with NYHA 4 sx. 25mm anterior mitral valve leaflet, neo-LVOT 200. Reverse LAMPOON w 26mm Sapien. #cardiotwitter @sean_stewartmd #TAVR @dhrosenbaum @TAVRBot @IvanHansonMD @amrabbasmd @PedroMDMSc

Severe LAD noted on cath, PCI with significant improvement in hemodynamics. With Impella explant following day and extubation. TAVR 26mm S3 2 days later, home after total 9 day admission. Fantastic team effort

@bojo_iyer @sean_stewartmd @IvanHansonMD @TAVRBot @Norton_Health @amrabbasmd That’s what we thought as well

@marktuttle @sean_stewartmd @IvanHansonMD @TAVRBot @Norton_Health @amrabbasmd Yes, fortunately with pushing the tvp in, there was capture for the contact of the valve with the frame

@JasonFoerst @sean_stewartmd @IvanHansonMD @TAVRBot @Norton_Health @amrabbasmd Thank you. It was helpful to hear that others have seen this as well

@mhammadah @sean_stewartmd @IvanHansonMD @TAVRBot @Norton_Health @amrabbasmd Original was deployed 29+5cc

@HarshGMD @sean_stewartmd @IvanHansonMD @TAVRBot @Norton_Health @amrabbasmd Unsettling to see this happen so late and with such good initial anatomy and result. Will be unlikely to consider borderline cases going forward

@noon_boiler55