Two-Stage Percutaneous Closure of Paravalvular Leak in a Patient with Stentless Aortic Bioprosthesis

被引：3

作者：

Smolka, Grzegorz ^{[1
]}

Pysz, Piotr ^{[2
,3
]}

Jasinski, Marek ^{[3
]}

机构：

[1] Med Univ Silesia, Dept Struct Heart Dis, PL-40635 Katowice, Poland

[2] Med Univ Silesia, Cardiol Dept 2, PL-40635 Katowice, Poland

[3] Med Univ Silesia, Dept Cardiac Surg 2, PL-40635 Katowice, Poland

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2013年 / 82卷 / 02期

关键词：

paravalvular leak; stentless bioprosthesis; percutaneous closure; PROSTHETIC REGURGITATION; OUTCOMES; REPAIR;

D O I：

10.1002/ccd.24482

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (c) 2012 Wiley Periodicals, Inc.

引用

页码：E119 / E123

页数：5

共 6 条

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