Aortic Paravalvular Leak Repair: Can TAVR Be the Answer?

Mohamed Abdel-Aal Ahmed; Yan Yatsynovich; Tharmathai Ramanan; Gerald Colern; Rosemary Hansen; Thomas Cimato; Susan Graham; Brian Page; Vijay Iyer

doi:10.1016/j.jaccas.2019.11.009

Aortic Paravalvular Leak Repair: Can TAVR Be the Answer?

JACC Case Rep. 2019 Dec 18;1(5):796-802. doi: 10.1016/j.jaccas.2019.11.009.

Authors

Mohamed Abdel-Aal Ahmed¹, Yan Yatsynovich¹, Tharmathai Ramanan¹, Gerald Colern¹, Rosemary Hansen¹, Thomas Cimato¹, Susan Graham¹, Brian Page¹, Vijay Iyer¹

Affiliation

¹ Kaleida Health, affiliated with the Department of Cardiology, University of Buffalo, Buffalo, New York.

Abstract

A 71-year-old male with endocarditis mediated severe paravalvular leak and nonischemic cardiomyopathy underwent percutaneous repair attempts with a closure device followed by valve-in-valve transcatheter aortic replacement procedure. The case was complicated by cardiac arrest requiring hemodynamic support with Impella placement and secondary iatrogenic central aortic insufficiency requiring further intervention. (Level of Difficulty: Beginner.).

Keywords: AI, aortic insufficiency; AVR, aortic valve replacement; LVEF, left ventricular ejection fraction; PVL, paravalvular leak; TAVR, transcatheter aortic valve replacement; VA ECMO, veno-arterial extracorporeal membrane oxygenation; ViV, valve-in-valve; ViViV, valve-in-valve-in-valve; aortic valve; valve repair; valve replacement.

Publication types

Case Reports