Luai Madanat, Richard Bloomingdale, Ahmad Jabri, Michael Gallagher, Vishal Birk, Amr E. Abbas, John Young, Rakesh M. Suri
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Mitral valve replacement in the setting of severe mitral annular calcification remains a high-risk intervention, often complicated by poor outcomes with both conventional surgical and transcatheter techniques. A hybrid open transcatheter mitral valve-in-MAC procedure utilizing an atrialized implantation strategy offers a promising alternative to minimize the risk of left ventricular outflow tract obstruction. Meticulous preoperative planning with cardiac CT is essential to guide procedural strategy and optimize outcomes.
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