Closure of a paravalvular aortic leak: With the use of 2 AMPLATZER devices and real-time 2- and 3-dimensional transesophageal echocardiography

Kurt S. Hoffmayer, Christian Zellner, Damon M. Kwan, Suma Konety, Elyse Foster, Phillip Moore, Yerem Yeghiazarians

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Paravalvular leaks are well-recognized sequelae of mechanical aortic valve implantation. Clinical manifestations include hemolysis, arrhythmias, and congestive heart failure. Frequently, patients who receive mechanical aortic valves are poor candidates for repeat valve surgery, and the reoperative mortality rate is high. Percutaneous intervention has recently become an alternative to surgery in selected patients. Herein, we describe the percutaneous closure of an aortic paravalvular leak in a 45-year-old man who had undergone 2 aortic valve replacements with mechanical valves. The patient, who was at high surgical risk due to comorbidities, underwent the implantation of 2 Amplatzer devices with the use of realtime 2- and 3-dimensional transesophageal echocardiography. The early outcome of the procedure was favorable and without sequelae. To our knowledge, this is the 1st report of the closing of an aortic paravalvular leak with the use of 2 closure devices and real-time echocardiographic guidance.

Original languageEnglish (US)
Pages (from-to)81-84
Number of pages4
JournalTexas Heart Institute Journal
Volume38
Issue number1
StatePublished - Mar 30 2011

Keywords

  • Aortic valve insufficiency/complications/diagnosis/etiology
  • Echocardiography, transesophageal
  • Heart catheterization
  • Heart valve diseases/therapy/ultrasonography
  • Heart valve prosthesis/adverse effects/standards
  • Postoperative complications/therapy/ultrasonography
  • Prosthesis failure
  • Risk assessment
  • Risk factors
  • Treatment outcome

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