Percutaneous valve-in-valve procedure and simultaneous paravalvular leak closure.
Dinu V BalanescuTheodor CebotaruAdrian C IancuIoana M DregoescSerban Mihai BalanescuPublished in: Journal of cardiac surgery (2019)
Concern for early degeneration limits the use of bioprosthetic heart valves. A 77-year-old man who underwent surgical aortic valve replacement at age 70 for severe aortic stenosis (AoS) presented with premature bioprosthesis degeneration and AoS recurrence. Transthoracic echocardiography demonstrated severe AoS and aortic regurgitation, a 30% ejection fraction, and pulmonary hypertension. Transesophageal echocardiography revealed that the aortic regurgitation was due to a 5-mm paravalvular leak (PVL). A high EuroScoreII excluded surgical treatment. Simultaneous transcatheter aortic valve replacement and PVL closure with an Occlutech PLD Square 5 Twist PVL closure device were performed with good results and improved clinical status.
Keyphrases
- aortic stenosis
- aortic valve
- transcatheter aortic valve replacement
- aortic valve replacement
- pulmonary hypertension
- transcatheter aortic valve implantation
- left ventricular
- ejection fraction
- pulmonary artery
- computed tomography
- minimally invasive
- early onset
- pulmonary arterial hypertension
- heart failure
- epithelial mesenchymal transition
- drug induced
- mitral valve
- coronary artery
- left atrial appendage
- coronary artery disease
- radiofrequency ablation