Outcome and follow-up:
The patient was placed in the cardiac care unit for three days, during which she remained free of malignant arrhythmias. She was discharged on post-procedural day 35 (Figure 3). Echocardiography one month after discharge showed resolution of the mitral regurgitation, SAM and outflow tract obstruction (Figure 2, lower right panels). She has remained free of LVOT obstruction and symptoms for 3 years after PTSMA.