Transcatheter closure of multiple paravalvular leaks by a transapical approach under echocardiographic guidance: A case report

CASE SUMMARY: A patient who underwent mechanical aortic and mitral valve replacement developed three paravalvular leaks 10 months later. We located the tracks by puncturing the apex cordis under transoesophageal echocardiography guidance alone and puncturing the femoral artery guided by fluoroscopy....

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Detalles Bibliográficos
Autores principales: Yi, Kang, Ding, Fang-Hui, You, Tao, Li, Hong-Xin, Xu, Jian-Guo, Hou, Xiao-Dong, Wang, Xin-Kuan, Zhang, Xin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10450597/
https://www.ncbi.nlm.nih.gov/pubmed/34851207
http://dx.doi.org/10.1177/00368504211058554
Descripción
Sumario:CASE SUMMARY: A patient who underwent mechanical aortic and mitral valve replacement developed three paravalvular leaks 10 months later. We located the tracks by puncturing the apex cordis under transoesophageal echocardiography guidance alone and puncturing the femoral artery guided by fluoroscopy. Three paravalvular leaks were occluded with a hybridization method simultaneously. The patient was followed up for 24 months and maintained a good condition. CONCLUSION: Multiple paravalvular leaks after double valve replacement can be occluded in patients by the use of different approaches under echocardiographic guidance alone.

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