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Valve-in-Valve-in-Ring: A Bailout Strategy to Tackle Paravalvular Leaks due to Device Malapposition

A 55-year-old male with a history of severe organic mitral regurgitation treated with surgical mitral valve (MV) repair was referred for a transcatheter MV replacement due to recurrent regurgitation. After the release of the first transcatheter MV, a severe paravalvular leak coming from the lateral...

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Detalles Bibliográficos
Autores principales: Vairo, Alessandro, Conrotto, Federico, Franchin, Luca, Fortuni, Federico, Bruno, Francesco, Montefusco, Antonio, D’Ascenzo, Fabrizio, Milan, Alberto, Torre, Michele La, Alunni, Gianluca, Rinaldi, Mauro, De Ferrari, Gaetano Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8893110/
https://www.ncbi.nlm.nih.gov/pubmed/35284218
http://dx.doi.org/10.4103/jcecho.jcecho_44_21
Descripción
Sumario:A 55-year-old male with a history of severe organic mitral regurgitation treated with surgical mitral valve (MV) repair was referred for a transcatheter MV replacement due to recurrent regurgitation. After the release of the first transcatheter MV, a severe paravalvular leak coming from the lateral side was observed. To promptly tackle this issue, a second valve with further postdilation was successfully implanted and the paravalvular leak disappeared. This case highlights the feasibility of implanting a second valve in case of severe paravalvular leaks after MV-in-ring procedures due to device malapposition.