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. 2021 Mar 17;10(7):e018514. doi: 10.1161/JAHA.120.018514

Figure 6. Overview of treatment options in patients with mitral valve disease and mitral annular calcification.

Figure 6

Summary of reviewed treatment options in patients with mitral valve disease and mitral annular calcification. In operable patients, both surgical mitral valve replacement and transatrial transcatheter mitral valve replacement can be considered depending on mitral annular calcification anatomy. In inoperable patients with favorable anatomy, percutaneous transcatheter mitral valve replacement can be considered. CABG indicates coronary artery bypass grafting; LAMPOON indicates Laceration of the Anterior Mitral Leaflet to Prevent Left Ventricular Outflow Tract Obstruction; LVOT, left ventricular outflow tract; MAC, mitral annular calcification; SMVR, surgical mitral valve replacement; and TMVR, transcatheter mitral valve replacement.