Left ventricular outflow tract obstruction represents a Hayward PSV Diverter Valve Parts life-threatening complication in patients undergoing transcatheter mitral valve replacement.Interventional approaches to prevent left ventricular outflow tract obstruction are complex and require exceptional procedural expertise.We demonstrate feasibility and safety of first-in-human device-mediated mechanical laceration of the anterior mitral valve leaflet prior to transapical transcatheter mitral accessoreis valve replacement.
(Level of Difficulty: Advanced.).