Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch

A 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed to...

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Detalles Bibliográficos
Autores principales: Peverill, William, Chu, Michael W.A., Diamantouros, Pantelis, Bagur, Rodrigo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636236/
https://www.ncbi.nlm.nih.gov/pubmed/34888515
http://dx.doi.org/10.1016/j.cjco.2021.06.004
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author Peverill, William
Chu, Michael W.A.
Diamantouros, Pantelis
Bagur, Rodrigo
author_facet Peverill, William
Chu, Michael W.A.
Diamantouros, Pantelis
Bagur, Rodrigo
author_sort Peverill, William
collection PubMed
description A 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed tomography images suggested evidence of prosthesis–annulus mismatch. Therefore, a redo transcatheter aortic valve implantation utilizing a 29-mm SAPIEN 3 transcatheter aortic valve was performed. This case illustrates the importance of proper valve sizing to avoid paravalvular leak, and how to safely cross an ACURATE-neo valve to avoid catheter entangling.
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spelling pubmed-86362362021-12-08 Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch Peverill, William Chu, Michael W.A. Diamantouros, Pantelis Bagur, Rodrigo CJC Open Case Report A 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed tomography images suggested evidence of prosthesis–annulus mismatch. Therefore, a redo transcatheter aortic valve implantation utilizing a 29-mm SAPIEN 3 transcatheter aortic valve was performed. This case illustrates the importance of proper valve sizing to avoid paravalvular leak, and how to safely cross an ACURATE-neo valve to avoid catheter entangling. Elsevier 2021-06-19 /pmc/articles/PMC8636236/ /pubmed/34888515 http://dx.doi.org/10.1016/j.cjco.2021.06.004 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Peverill, William
Chu, Michael W.A.
Diamantouros, Pantelis
Bagur, Rodrigo
Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_full Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_fullStr Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_full_unstemmed Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_short Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_sort transcatheter balloon-expandable valve-in-valve to treat severe paravalvular leak secondary to acurate-neo self-expanding prosthesis–annulus mismatch
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636236/
https://www.ncbi.nlm.nih.gov/pubmed/34888515
http://dx.doi.org/10.1016/j.cjco.2021.06.004
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