TY - JOUR
T1 - Closure of a paravalvular aortic leak
T2 - With the use of 2 AMPLATZER devices and real-time 2- and 3-dimensional transesophageal echocardiography
AU - Hoffmayer, Kurt S.
AU - Zellner, Christian
AU - Kwan, Damon M.
AU - Konety, Suma
AU - Foster, Elyse
AU - Moore, Phillip
AU - Yeghiazarians, Yerem
PY - 2011
Y1 - 2011
N2 - 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.
AB - 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.
KW - Aortic valve insufficiency/complications/diagnosis/etiology
KW - Echocardiography, transesophageal
KW - Heart catheterization
KW - Heart valve diseases/therapy/ultrasonography
KW - Heart valve prosthesis/adverse effects/standards
KW - Postoperative complications/therapy/ultrasonography
KW - Prosthesis failure
KW - Risk assessment
KW - Risk factors
KW - Treatment outcome
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M3 - Article
C2 - 21423478
AN - SCOPUS:79953051144
SN - 0730-2347
VL - 38
SP - 81
EP - 84
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
IS - 1
ER -