Percutaneous Closure of Paravalvular Leak from a Rocking Mitral Valve in a 74-Year-Old Man at High Surgical Risk
| Autor: | Norihiko Kamioka, Jose Miguel Iturbe, Vasilis Babaliaros, Stamatios Lerakis, Stephen D. Clements, Frank Corrigan |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Reoperation Cardiac Catheterization medicine.medical_specialty Percutaneous Case Reports 030204 cardiovascular system & hematology Dehiscence 03 medical and health sciences 0302 clinical medicine Mitral valve Humans Medicine High surgical risk 030212 general & internal medicine Paravalvular leak Cardiac Surgical Procedures Aged Heart Valve Prosthesis Implantation Surgical repair Multimodal imaging Cardiac cycle business.industry Mitral Valve Insufficiency Prosthesis Failure Surgery medicine.anatomical_structure Mitral Valve Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | Tex Heart Inst J |
| ISSN: | 1526-6702 0730-2347 |
| DOI: | 10.14503/thij-18-6626 |
| Popis: | Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel. |
| Databáze: | OpenAIRE |
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