{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T06:57:05Z","timestamp":1793775425949,"version":"4.6.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Replacement of the aortic valve is a Class I recommendation for treatment of patients suffering from severe, symptomatic aortic stenosis. However, aortic valve replacement can occasionally lead to complications, including development of acute left ventricular outflow tract (LVOT) obstruction. This rare but severe complication is referred to as the so-called \u2018suicide left ventricle\u2019 phenomenon.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>This case report presents an 88-year-old woman who developed severe LVOT obstruction following a successful transcatheter aortic valve implantation (TAVI), complicated by septal anterior motion of the mitral valve resulting in severe mitral regurgitation. Despite initial intensive care management, her symptoms persisted, necessitating the application of transcoronary ablation of septal hypertrophy as a bail-out procedure. Transcoronary ablation of septal hypertrophy, typically used in hypertrophic obstructive cardiomyopathy, successfully reduced the LVOT gradient and relieved symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case emphasizes the importance of pre-operative identification of LVOT obstruction risk factors, awareness for this complication and a well-experience multidisciplinary team for the management of TAVI-associated complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf164","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T11:28:20Z","timestamp":1746617300000},"source":"Crossref","is-referenced-by-count":4,"title":["When the heart becomes suicidal: a case report of severe left ventricular outflow tract obstruction following transcatheter aortic valve implantation"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0894-368X","authenticated-orcid":false,"given":"Carl","family":"Schulz","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Medical Center Hamburg-Eppendorf , Martinistreet 52, 20251 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian J","family":"Brunner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Hamburg-Eppendorf , Martinistreet 52, 20251 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8747-166X","authenticated-orcid":false,"given":"Simon","family":"Pecha","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery, University Medical Center Hamburg-Eppendorf, Martinistreet 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"S\u00f6rensen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Hamburg-Eppendorf , Martinistreet 52, 20251 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5190-813X","authenticated-orcid":false,"given":"Niklas","family":"Schofer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Hamburg-Eppendorf , Martinistreet 52, 20251 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"2025050707281100400_ytaf164-B1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1093\/eurheartj\/ehab395","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"43","author":"Vahanian","year":"2022","journal-title":"Eur Heart J"},{"key":"2025050707281100400_ytaf164-B2","doi-asserted-by":"crossref","first-page":"E288","DOI":"10.1002\/ccd.27508","article-title":"Incidence, predictors, and midterm clinical outcomes of left ventricular obstruction after transcatheter aortic valve implantation","volume":"92","author":"Tsuruta","year":"2018","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025050707281100400_ytaf164-B3","doi-asserted-by":"crossref","first-page":"5555","DOI":"10.3390\/jcm13185555","article-title":"Silent threats of the heart: a case series and narrative review on suicide left ventricle post-aortic valve replacement in patients with dynamic LVOT obstruction and aortic stenosis","volume":"13","author":"Romano","year":"2024","journal-title":"J Clin Med"},{"key":"2025050707281100400_ytaf164-B4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.amjcard.2023.12.005","article-title":"Acute 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obstruction","volume":"4","author":"Ben-Dor","year":"2022","journal-title":"JACC Case Rep"},{"key":"2025050707281100400_ytaf164-B10","first-page":"E114","article-title":"Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation","volume":"25","author":"Gerckens","year":"2013","journal-title":"J Invasive Cardiol"},{"key":"2025050707281100400_ytaf164-B11","doi-asserted-by":"crossref","first-page":"102430","DOI":"10.1016\/j.jaccas.2024.102430","article-title":"Usefulness of mavacamten in the challenging association of aortic stenosis and obstructive hypertrophic cardiomyopathy","volume":"29","author":"Vanhaecke","year":"2024","journal-title":"JACC Case Rep"}],"container-title":["European Heart Journal - Case 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