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- Title
Surgery for delayed leaflet impingement after transcatheter closure of a paravalvular leak associated with an aortic pseudoaneurysm.
- Authors
Fiore, Antonio; Piscitelli, Mariantonietta; Rabia, Amel; Folliguet, Thierry; Nappi, Francesco; Gallet, Romain
- Abstract
Background: Paravalvular leak (PVL) is a recognized and challenging complication after surgical or transcatheter valve replacement. The transcatheter closure of PVL has become the first-line treatment in clinical practice when the procedure is not contraindicated. Transcatheter PVL closure rests on a complex procedure and complications still occur in approximately 9% of patients. Case Report: We describe the case of a delayed mechanical prosthetic leaflet impingement after transcatheter closure of a paravalvular leak associated with a Valsalva pseudoaneurysm that required an urgent surgery. Conclusion: Aorta–left ventricle communication could be a relative contraindication to be assessed on a case-by-case basis, but transcatheter closure does not preclude subsequent attempt for surgical repair and outcome.
- Subjects
BIOPROSTHESIS; PATIENT aftercare; TRANSESOPHAGEAL echocardiography; CONVALESCENCE; FLUOROSCOPY; FALSE aneurysms; PROSTHETIC heart valves; ELECTROCARDIOGRAPHY; COMPUTED tomography; AORTIC valve diseases
- Publication
Perfusion, 2023, Vol 38, Issue 2, p432
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591211057505