Abstract
New interventional techniques have made transcatheter closure of aortic paravalvular leaks a viable therapeutic option to treat the sequelae of these defects, including congestive heart failure and hemolysis. We report the transcatheter closure of an aortic paravalvular leak via a combined retrograde/antegrade approach. This was necessary because of difficulty in crossing the defect with a sheath from the retrograde approach. This technique might be useful in application to other difficult structural heart interventions. To our knowledge, this is the first report of a treated paravalvular leak around a Mitroflow(®) Aortic Pericardial Heart Valve.
Keywords:
Aortic regurgitation; aortic valve; congestive heart failure; echocardiography, transesophageal; heart valve prosthesis; percutaneous closure; treatment outcome.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Aged, 80 and over
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Aortic Valve / diagnostic imaging
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Aortic Valve / physiopathology
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Aortic Valve / surgery*
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Aortic Valve Insufficiency / diagnosis
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Aortic Valve Insufficiency / etiology
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Aortic Valve Insufficiency / physiopathology
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Aortic Valve Insufficiency / therapy*
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Aortic Valve Stenosis / diagnosis
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Aortic Valve Stenosis / physiopathology
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Aortic Valve Stenosis / surgery*
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Cardiac Catheterization / adverse effects
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Cardiac Catheterization / instrumentation
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Cardiac Catheterization / methods*
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Echocardiography, Doppler, Color
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Echocardiography, Three-Dimensional
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Echocardiography, Transesophageal
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Female
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation / adverse effects
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Heart Valve Prosthesis Implantation / instrumentation
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Heart Valve Prosthesis Implantation / methods*
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Humans
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Tomography, X-Ray Computed
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Treatment Outcome