Key result
This review highlights an increased interest in minimally invasive transcatheter closure procedures for managing paravalvular leaks post aortic valve replacement.
Why the study?
Paravalvular leaks after aortic valve replacement can cause severe complications if not promptly treated, prompting interest in early diagnosis and minimally invasive management options.
This review outlines the classification, diagnosis, and management of paravalvular leaks following aortic valve replacement, emphasizing the role of transcatheter closure.
May inform transcatheter closure decisions for aortic paravalvular leaks; leaves open need for prospective comparative trials.
Paravalvular leak (PVL) is uncommon but can lead to severe complications after surgical or transcatheter aortic valve replacement. Clinical complications such as heart failure, haemolysis and infective endocarditis can be catastrophic results if not treated in promptly. It is, therefore, vital that PVLs are diagnosed early using various imaging modalities. Different approaches have been studies in managing PVL’s; of late, there is an increased interest in the use of minimally invasive procedures such as the transcatheter aortic valve closure procedure due to the decreased occurrence of further operations. This review discusses the classification of PVLs, diagnostic approaches and the available management options.
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Kananathan et al. (2021) conducted a review in Paravalvular leak post aortic valve replacement. Management of paravalvular leaks (including transcatheter closure) was evaluated. This review highlights an increased interest in minimally invasive transcatheter closure procedures for managing paravalvular leaks post aortic valve replacement.
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