Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders
Paravalvular leaks are common following valve replacement surgery. Majority are benign and do not require any active intervention. However, occasionally severe paravalvular regurgitation can produce heart failure and/or hemolysis, needing closure of the defect. It is more commonly associated with ao...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-05-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483216305545 |
| _version_ | 1831808412590014464 |
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| author | Aritra Mukherji Rajaram Anantharaman Raghavan Subramanyan |
| author_facet | Aritra Mukherji Rajaram Anantharaman Raghavan Subramanyan |
| author_sort | Aritra Mukherji |
| collection | DOAJ |
| description | Paravalvular leaks are common following valve replacement surgery. Majority are benign and do not require any active intervention. However, occasionally severe paravalvular regurgitation can produce heart failure and/or hemolysis, needing closure of the defect. It is more commonly associated with aortic and mitral prosthesis, symptomatic tricuspid paravalvular regurgitation being a rare entity. In this report we present the successful percutaneous transcatheter closure of a large paravalvular tricuspid regurgitation in a 59-year old lady with history of multiple previous operations. The elongated crescent-shaped defect was closed using two muscular VSD devices without any residual leak and without hampering the bio-prosthetic tricuspid valve function. Patient had transient complete heart block during the procedure which recovered later. There was marked improvement in the symptomatic status of the patient at discharge (NYHA IV to NYHA II), which was sustained at follow-up. |
| first_indexed | 2024-12-22T20:22:43Z |
| format | Article |
| id | doaj.art-d5091ae3ee9b46e2a0f3a31a135478fd |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-22T20:22:43Z |
| publishDate | 2017-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-d5091ae3ee9b46e2a0f3a31a135478fd2022-12-21T18:13:48ZengElsevierIndian Heart Journal0019-48322017-05-0169333433710.1016/j.ihj.2016.10.009Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occludersAritra MukherjiRajaram AnantharamanRaghavan SubramanyanParavalvular leaks are common following valve replacement surgery. Majority are benign and do not require any active intervention. However, occasionally severe paravalvular regurgitation can produce heart failure and/or hemolysis, needing closure of the defect. It is more commonly associated with aortic and mitral prosthesis, symptomatic tricuspid paravalvular regurgitation being a rare entity. In this report we present the successful percutaneous transcatheter closure of a large paravalvular tricuspid regurgitation in a 59-year old lady with history of multiple previous operations. The elongated crescent-shaped defect was closed using two muscular VSD devices without any residual leak and without hampering the bio-prosthetic tricuspid valve function. Patient had transient complete heart block during the procedure which recovered later. There was marked improvement in the symptomatic status of the patient at discharge (NYHA IV to NYHA II), which was sustained at follow-up.http://www.sciencedirect.com/science/article/pii/S0019483216305545Paravalvular leakTricuspid regurgitationMuscular VSD occluderTranscatheter closure |
| spellingShingle | Aritra Mukherji Rajaram Anantharaman Raghavan Subramanyan Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders Indian Heart Journal Paravalvular leak Tricuspid regurgitation Muscular VSD occluder Transcatheter closure |
| title | Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders |
| title_full | Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders |
| title_fullStr | Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders |
| title_full_unstemmed | Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders |
| title_short | Percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular VSD occluders |
| title_sort | percutaneous closure of symptomatic large tricuspid paravalvular regurgitation using two muscular vsd occluders |
| topic | Paravalvular leak Tricuspid regurgitation Muscular VSD occluder Transcatheter closure |
| url | http://www.sciencedirect.com/science/article/pii/S0019483216305545 |
| work_keys_str_mv | AT aritramukherji percutaneousclosureofsymptomaticlargetricuspidparavalvularregurgitationusingtwomuscularvsdoccluders AT rajaramanantharaman percutaneousclosureofsymptomaticlargetricuspidparavalvularregurgitationusingtwomuscularvsdoccluders AT raghavansubramanyan percutaneousclosureofsymptomaticlargetricuspidparavalvularregurgitationusingtwomuscularvsdoccluders |