Book excerpt: Advances in structural heart disease (SHD) is occurring at a rapid rate, and the Mayo Clinic is at the forefront of developing procedural techniques in this fast-changing field. Handbook of Structural Heart Interventions provides practical, focused coverage of SHD, bringing you up to date with today’s evidence-based techniques and approaches for common and uncommon SHD procedures. Ideal for both SHD trainees and established practitioners, attendings, and fellows in interventional cardiology, this easy-to-use handbook is a unique educational and clinical resource in a quickly expanding field. Uses a consistent format for procedures, clearly guiding you through the scope of the problem, procedure/technique, and outcomes. Employs a “building blocks approach pioneered at Mayo as an effective training method for procedural learning. Includes training tips and pitfalls from leading structural heart authorities. Contains 550 full-color illustrations, including anatomy and step-by-step procedures. Features separate sections on aortic valve interventions, mitral valve interventions, ventricular septal interventions, tricuspid valves, pulmonary valves, ACHD interventions, and miscellaneous/variable anatomic positions. Covers key procedures such as TAVR; valvuloplasty, valve-in-valve, and valve-in-ring; left atrial appendage closure; VSD closure, paravalvular leak closure, and more. Provides access to 20 videos of interventional procedures, including PFO and ASD closure, assessment of patients for MitraClip, and aortic coarctation stenting.