Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis.
Georgios TzimasEric EeckhoutPanagiotis AntiochosChristan RoguelovStephane FournierBrahim HarbaouiPierre MonneyOlivier MullerPublished in: Case reports in cardiology (2019)
In an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients, paravalvular leak remains the intervention's Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an optimal clinical outcome. We present here the first case report in which percutaneous valvular closure using Amplatzer plugs followed by a TAV-in-TAV intervention during the same procedure managed to resolve a severe paravalvular leak with haemodynamic instability, after TAVI for a bicuspid aortic stenosis.
Keyphrases
- aortic stenosis
- transcatheter aortic valve implantation
- ejection fraction
- aortic valve
- transcatheter aortic valve replacement
- aortic valve replacement
- randomized controlled trial
- minimally invasive
- left ventricular
- case report
- atrial fibrillation
- end stage renal disease
- coronary artery disease
- ultrasound guided
- early onset
- newly diagnosed
- radiofrequency ablation
- chronic kidney disease
- prognostic factors
- heart failure
- peritoneal dialysis
- patient reported