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. 2019 Apr 2;3(3):90–99. doi: 10.1016/j.case.2019.02.005

Figure 2.

Figure 2

Assessment of predicted LVOT dimensions with simulated valve superimposed on multislice computed tomographic images. Neo-LVOT area was 292 mm2 (A), with the smallest clearance from the shoulder of the device to the septal wall of 9.49 mm (B). On volume-rendered computed tomography, the smallest predicted LVOT area was 292 mm2(C). At end-systole, a neo-LVOT area of 250 mm2 and clearance distance from the shoulder of device to the septum of 5 mm suggested a low possibility of LVOT obstruction after Tendyne implantation. Septal bump, aortomitral angle, length and shape of outflow, and anterior mitral leaflet characteristics and dynamics are other important factors.