Percutaneous Treatment of Paravalvular Leak in Rapid-Deployment Bioprosthetic Aortic Valve With Balloon Dilation

Rapid deployment aortic valve prostheses have become a common solution for aortic valve replacement. While >mild prognostic paravalvular leaks are not infrequent, their treatment is not yet clear. We report the case of an 82-year-old man that presented with acute heart failure. Previously implant...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2020-11, Vol.21 (11), p.47-49
Main Authors: Pivato, Carlo Andrea, Regazzoli, Damiano, Rossi, Alexia, Pagliaro, Beniamino
Format: Article
Language:English
Subjects:
Paravalvular leak
Percutaneous treatment
Rapid deployment aortic valve
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Summary:Rapid deployment aortic valve prostheses have become a common solution for aortic valve replacement. While >mild prognostic paravalvular leaks are not infrequent, their treatment is not yet clear. We report the case of an 82-year-old man that presented with acute heart failure. Previously implanted rapid deployment bioprosthetic aortic valve (Intuity Elite, Edwards Lifesciences, Irvine, California) presented a significant paravalvular leak that seemed to be secondary to valve underexpansion. Percutaneous balloon post dilation was performed and resulted in better expansion of the valve and its sealing skirt with a significant reduction of the leak. •Rapid deployment aortic valve prostheses have become a common solution for aortic valve replacement.•Rates of paravalvular leaks are not trivial and more than mild leaks are associated to worse survival.•Percutaneous dilation of the valve may treat paravalvular leak due to Intuity aortic valve malapposition and underexpansion.
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2020.05.007