Key result
Percutaneous treatment with an Amplatzer Duct Occluder device successfully closed a symptomatic aortic paravalvular leak in a young woman with mechanical aortic and mitral prostheses.
Why the study?
Paravalvular leak after aortic valve replacement is a serious complication with limited less invasive treatment options, especially in patients with frail native annulus.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Successful percutaneous PVL closure with Amplatzer device in dual mechanical valves; leaves open need for larger prospective studies on durability and selection.
: Paravalvular leak (PVL) is an uncommon but serious complication associated with the implantation of prosthetic valves. Following aortic valve replacement, up to 5% of patients affected by PVL develop clinical symptoms of heart failure, hemolysis or both. Percutaneous treatment of PVL has emerged instead of conventional surgery, as a well tolerated and less invasive procedure but remains a challenge. We present the case of a young woman with mechanical aortic and mitral prostheses, who presented surgical aortic PVL caused by a serious frailty of native annulus, became symptomatic after 5 months and was successfully percutaneously treated with an Amplatzer Duct Occluder device.
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Saitto et al. (2017) conducted a case report in Paravalvular leak (PVL) (n=1). Percutaneous treatment with an Amplatzer Duct Occluder device was evaluated on Procedural success. Percutaneous treatment with an Amplatzer Duct Occluder device successfully closed a symptomatic aortic paravalvular leak in a young woman with mechanical aortic and mitral prostheses.
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