Premium
Hemodynamic guidance of mitral paravalvular leak closure: The V is the key
Author(s) -
Goldstein James A.
Publication year - 2017
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.27355
Subject(s) - medicine , cardiology , hemodynamics , closure (psychology) , leak , heart failure , left atrial pressure , mitral regurgitation , regurgitation (circulation) , pulmonary hypertension , environmental engineering , economics , engineering , market economy
Key Points Severe mitral paravalvular leak (PVL) induces elevated mean left atrial (LA) pressure (LAP) and prominent V waves, leading to pulmonary hypertension and right heart failure PVL closure promptly reduces V wave and mean LAP, correlates with improved echo regurgitation grade, and exerts immediate benefit to the lungs and right heart Hemodynamic response patterns facilitate PVL closure