Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure.
Hani AlturkmaniJack XuAdib ChausSrikanth VallurupalliGaurav DharPublished in: Methodist DeBakey cardiovascular journal (2022)
This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prosthetic paravalvular leak (PVL) severity. Subsequent percutaneous PVL closure with a ventricular septal defect occluder successfully reduced the PVL severity and led to significant clinical improvement.
Keyphrases
- mitral valve
- left ventricular
- case report
- left atrial
- transcatheter aortic valve replacement
- aortic valve
- transcatheter aortic valve implantation
- aortic stenosis
- minimally invasive
- heart failure
- ultrasound guided
- radiofrequency ablation
- aortic valve replacement
- atrial fibrillation
- coronary artery disease
- catheter ablation