This case report describes the interventional closure of paravalvular leakage in a patient presenting with pulmonary edema after TAVI.
May support paravalvular leak closure in select post-TAVI cases with edema; leaves open need for prospective validation before wider adoption.
An 83-year-old female patient presented with pulmonary oedema 2 months after transcatheter aortic valve implantation (TAVI) with a balloon-expandable transcatheter heart valve (THV) (Edwards SAPIEN XT 23 mm). The THV had been properly sized [maximum annulus diameter 21 mm in three-dimensional transoesophageal echocardiography (3D-TEE) and 24 × 20 mm in computed tomography], but the severely calcified non-coronary cusp prevented tight …
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Sinning et al. (2012) studied this question.
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