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Attempt at off‐label balloon valvuloplasty post‐dilation for intuity sutureless valve
Author(s) -
Mejia Javier,
Itagaki Shinobu,
Phillips Katherine G.,
ElEshmawi Ahmed,
Stewart Allan
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14803
Subject(s) - medicine , balloon dilation , balloon valvuloplasty , balloon , dilation (metric space) , cardiology , surgery , mathematics , combinatorics
Alternatives to traditional aortic valve replacement now form part of the valve surgeon's armamentarium. Sutureless valves offer decreased bypass and crossclamp times, excellent maneuverability, and promising outcomes. We present a case of a sutureless aortic valve replacement for a late failed David procedure, complicated by postoperative development of severe paravalvular regurgitation. We attempted off‐label balloon post‐dilation to improve expansion of the valve, however paravalvular regurgitation persisted. The patient underwent subsequent aortic valve replacement using a mechanical valve and experienced no further paravalvular leak.