Objective: Description of a novel method of left ventricular decompression by a percutaneous technique under transthoracic echocardiographic guidance.
Design: Case report.
Setting: Supraregional cardiac referral center.
Patient: PATIENT with end-stage cardiomyopathy.
Interventions: Percutaneous insertion of a modified Mullins transseptal sheath under transthoracic echocardiographic guidance.
Measurements and main results: Successful decompression of the left ventricle and subsequent orthotopic heart transplantation.
Conclusions: In patients at high risk of bleeding, a percutaneous technique may be useful for left ventricular decompression.