Two-stage percutaneous closure of paravalvular leak in a patient with stentless aortic bioprosthesis

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Grzegorz SmolkaMarek Jasinski

Abstract

We report a case of successful 2-stage percutaneous closure of severe paravalvular leak (PVL) in a patient with stentless aortic bioprosthesis. Threat of pliable prosthesis compression and long course of PVL posed main considerations. Accordingly, Amplatzer vascular plug (AVP) 2 was chosen as occluder. It was delivered transfemorally under fluoroscopy and transesophageal echocardiography guidance. No prosthesis distortion was provoked at the expense of moderate residual leak. Its symptoms after 3 months spurred another AVP 2 implantation, which lead to PVL closure with no effect on valve area. Marked reduction of left ventricle cavity size and NT-proBNP plasma concentration was promptly noted and remains stable in 12-month follow-up.

References

Jan 6, 2009·Journal of Cardiac Surgery·Jürgen A C EnnkerInes Florath
Jul 24, 2010·JACC. Cardiovascular Interventions·Fabian NietlispachJohn G Webb
Jul 28, 2011·Circulation. Cardiovascular Interventions·Paul SorajjaCharanjit S Rihal
Nov 15, 2011·Journal of the American College of Cardiology·Carlos E RuizHoward A Cohen
Nov 15, 2011·Journal of the American College of Cardiology·Paul SorajjaCharanjit S Rihal

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Citations

Jul 20, 2014·Revista Española De Cardiología·Ignacio Cruz-GonzalezCandido Martin Luengo
Oct 17, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Petra Poliacikova, David Hildick-Smith

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