Paravalvular Leak Leading to Severe Aortic Valve Regurgitation after TAVI: Percutaneous Closure Strategy

Marco Luciano Rossi; Guido Belli; Paolo Pagnotta; Carla Lucarelli; Patrizia Presbitero

doi:10.1016/j.hlc.2015.04.163

Paravalvular Leak Leading to Severe Aortic Valve Regurgitation after TAVI: Percutaneous Closure Strategy

Marco Luciano Rossi, Guido Belli, Paolo Pagnotta, Carla Lucarelli, Patrizia Presbitero

Istituto Clinico Humanitas

Research output: Contribution to journal › Article › peer-review

Abstract

Regurgitation due to a paravalvular leak (PVL) is a complication that may affect patients undergoing surgical mechanical or bioprosthetic heart valve replacement. PVL can also occur after transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis and is associated with significantly worse outcomes.We report a case in which different closure strategies and devices were attempted and required to percutaneously close a severe PVL after TAVI in a patient with prohibitive surgical risk.

Original language	English
Pages (from-to)	936-939
Number of pages	4
Journal	Heart Lung and Circulation
Volume	24
Issue number	9
DOIs	https://doi.org/10.1016/j.hlc.2015.04.163
Publication status	Published - Sep 1 2015

Keywords

Paravalular leak (PVL)
Percutaneous closure devices
Percutaneous valve-in-valve placement
Severe aortic regurgitation
Transcatheter aortic valve implantation (TAVI)

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Pulmonary and Respiratory Medicine

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title = "Paravalvular Leak Leading to Severe Aortic Valve Regurgitation after TAVI: Percutaneous Closure Strategy",

abstract = "Regurgitation due to a paravalvular leak (PVL) is a complication that may affect patients undergoing surgical mechanical or bioprosthetic heart valve replacement. PVL can also occur after transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis and is associated with significantly worse outcomes.We report a case in which different closure strategies and devices were attempted and required to percutaneously close a severe PVL after TAVI in a patient with prohibitive surgical risk.",

keywords = "Paravalular leak (PVL), Percutaneous closure devices, Percutaneous valve-in-valve placement, Severe aortic regurgitation, Transcatheter aortic valve implantation (TAVI)",

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AU - Rossi, Marco Luciano

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AU - Pagnotta, Paolo

AU - Lucarelli, Carla

AU - Presbitero, Patrizia

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