Percutaneous valve ‐in‐valve procedure and simultaneous paravalvular leak closure

AbstractConcern for early degeneration limits the use of bioprosthetic heart valves. A 77 ‐year‐old man who underwent surgical aortic valve replacement at age 70 for severe aortic stenosis (AoS) presented with premature bioprosthesis degeneration and AoS recurrence. Transthoracic echocardiography demonstrated severe AoS and aortic regurgitation, a 30% ejection fraction, and pulmonary hypertension. Transesophageal echocardiography revealed that the aortic regurgitation was due to a 5‐mm paravalvular leak (PVL). A high EuroScoreII excluded surgical treatment. Simultaneous transcatheter aortic valve replacement and PVL closure with an Occlutech PLD Square 5 Twist PVL closure dev ice were performed with good results and improved clinical status.

Source: Journal of Cardiac Surgery - September 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Dinu V. Balanescu, Theodor Cebotaru, Adrian C. Iancu, Ioana M. Dregoesc, Serban M. Balanescu Tags: CASE REPORT Source Type: research