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Two‐stage percutaneous closure of paravalvular leak in a patient with stentless aortic bioprosthesis
Author(s) -
Smolka Grzegorz,
Pysz Piotr,
Jasinski Marek
Publication year - 2012
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24482
Subject(s) - medicine , percutaneous , cardiology , closure (psychology) , leak , surgery , aortic valve replacement , aortic valve , stage (stratigraphy) , stenosis , environmental engineering , engineering , market economy , paleontology , economics , biology
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. © 2012 Wiley Periodicals, Inc.