Neo-Left Ventricular Outflow Tract modification With Alcohol Septal Ablation Before Tendyne Transcatheter Mitral Valve Replacement

A 69-year-old woman presented with recurrent heart failure, mild hypertrophy (13.5-mm septal thickness), and severe functional mitral regurgitation. The heart team recommended nonsurgical therapy. Leaflet calcifications precluded edge-to-edge repair; therefore, transcatheter mitral valve replacement