Sequential percutaneous closure of mitral prosthetic paravalvular leak and complex communicating pseudoaneurysms of the ascending aorta and subvalvar left ventricular outflow tract

Justin T Tretter; Larry A Latson Jr; Doff B McElhinney

doi:10.1002/ccd.26001

Sequential percutaneous closure of mitral prosthetic paravalvular leak and complex communicating pseudoaneurysms of the ascending aorta and subvalvar left ventricular outflow tract

Catheter Cardiovasc Interv. 2016 Jul;88(1):150-6. doi: 10.1002/ccd.26001. Epub 2015 May 11.

Authors

Justin T Tretter¹, Larry A Latson Jr², Doff B McElhinney^{1

3

4}

Affiliations

¹ Division of Pediatric Cardiology, NYU Langone Medical Center, New York, New York.
² Department of Radiology, NYU Langone Medical Center, New York, New York.
³ Division of Cardiology, NYU Langone Medical Center, New York, New York.
⁴ Division of Cardiothoracic Surgery, NYU Langone Medical Center, New York, New York.

PMID: 25964108
DOI: 10.1002/ccd.26001

Abstract

Ascending aortic and subvalvar left ventricular outflow tract (LVOT) pseudoaneurysms are rare complications following aortic valve or root replacement surgery. Clinically important paravalvular leaks are rare complications following any valve replacement surgery. We report an unusual case of sequential percutaneous closure of mitral prosthetic paravalvular leak and complex communicating ascending aortic and subvalvar LVOT pseudoaneurysms, which demonstrates the importance of multimodal imaging assessment surrounding percutaneous closure. © 2015 Wiley Periodicals, Inc.

Keywords: aortic disease; endovascular aortic repair; interventional devices/innovation.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aneurysm, False / diagnostic imaging
Aneurysm, False / therapy*
Aortic Aneurysm / diagnostic imaging
Aortic Aneurysm / therapy*
Aortography / methods
Cardiac Catheterization* / instrumentation
Catheterization, Peripheral* / instrumentation
Computed Tomography Angiography
Echocardiography, Transesophageal
Heart Aneurysm / diagnostic imaging
Heart Aneurysm / therapy*
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / adverse effects*
Heart Valve Prosthesis Implantation / instrumentation
Humans
Male
Middle Aged
Mitral Valve / diagnostic imaging
Mitral Valve / physiopathology
Mitral Valve / surgery*
Prosthesis Failure
Recurrence
Retreatment
Septal Occluder Device
Time Factors
Treatment Outcome