Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure

This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prost...

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Autores principales: Alturkmani, Hani, Xu, Jack, Chaus, Adib, Vallurupalli, Srikanth, Dhar, Gaurav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Houston Methodist DeBakey Heart & Vascular Center 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733145/
https://www.ncbi.nlm.nih.gov/pubmed/36561851
http://dx.doi.org/10.14797/mdcvj.1140
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author Alturkmani, Hani
Xu, Jack
Chaus, Adib
Vallurupalli, Srikanth
Dhar, Gaurav
author_facet Alturkmani, Hani
Xu, Jack
Chaus, Adib
Vallurupalli, Srikanth
Dhar, Gaurav
author_sort Alturkmani, Hani
collection PubMed
description This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prosthetic paravalvular leak (PVL) severity. Subsequent percutaneous PVL closure with a ventricular septal defect occluder successfully reduced the PVL severity and led to significant clinical improvement.
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spelling pubmed-97331452022-12-21 Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure Alturkmani, Hani Xu, Jack Chaus, Adib Vallurupalli, Srikanth Dhar, Gaurav Methodist Debakey Cardiovasc J Case Report This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prosthetic paravalvular leak (PVL) severity. Subsequent percutaneous PVL closure with a ventricular septal defect occluder successfully reduced the PVL severity and led to significant clinical improvement. Houston Methodist DeBakey Heart & Vascular Center 2022-12-08 /pmc/articles/PMC9733145/ /pubmed/36561851 http://dx.doi.org/10.14797/mdcvj.1140 Text en Copyright: © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Alturkmani, Hani
Xu, Jack
Chaus, Adib
Vallurupalli, Srikanth
Dhar, Gaurav
Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title_full Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title_fullStr Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title_full_unstemmed Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title_short Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure
title_sort percutaneous management of bioprosthetic mitral valve dehiscence with combined valve-in-valve replacement and paravalvular leak closure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733145/
https://www.ncbi.nlm.nih.gov/pubmed/36561851
http://dx.doi.org/10.14797/mdcvj.1140
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