Left ventricular outflow tract (LVOT) obstruction is a well-recognized and potentially life-threatening complication of transcatheter mitral valve replacement (TMVR), particularly in valve-in-mitral annular calcification (ViMAC) procedures. The risk results from interactions between the anterior mitral leaflet, the septal contour, and the prosthetic valve. These interactions may cause either dynamic or fixed obstruction after device deployment. Recent studies have highlighted the importance of preprocedural assessment of LVOT obstruction risk using advanced multimodality imaging. To mitigate the risk of LVOT obstruction-particularly in anatomically complex cases with borderline or unfavorable neo-LVOT dimensions-several procedural strategies, such as Laceration of the Anterior Mitral Leaflet to Prevent Outflow Obstruction (LAMPOON) and Balloon-Assisted Translocation of the Mitral Anterior Leaflet (BATMAN), have been developed and have shown promising results.1-4 Here, a high-risk patient who underwent a transcatheter ViMAC procedure using the BATMAN technique to prevent LVOT obstruction has been presented.