Surgical Bailout Therapy after Implantation of a Medtronic CoreValve Bioprosthesis

Moderate-to-severe paraprosthesic leak causing hemodynamic deterioration and left ventricular remodeling can occur after transcatheter aortic valve implantation (TAVI). We present the case of a 75-year-old woman who underwent TAVI with a 26 mm CoreValve prosthesis complicated with an acute left vent...

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Detalles Bibliográficos
Autores principales: Calé, Rita, Neves, José, Teles, Rui, Brito, João, Abecasis, Miguel, Almeida, Manuel, Nolasco, Tiago, Mendes, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008347/
https://www.ncbi.nlm.nih.gov/pubmed/24826249
http://dx.doi.org/10.1155/2012/387103
Descripción
Sumario:Moderate-to-severe paraprosthesic leak causing hemodynamic deterioration and left ventricular remodeling can occur after transcatheter aortic valve implantation (TAVI). We present the case of a 75-year-old woman who underwent TAVI with a 26 mm CoreValve prosthesis complicated with an acute left ventricle dilatation due to a severe paravalvular leak. Patient was unresponsive to elective balloon post-dilatation, and therefore she was successfully treated with open-heart surgery to remove the malfunctioning CoreValve bioprosthesis and perform standard aortic valve replacement.

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