Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement

Paravalvular leak (PVL) is a rare but potentially serious complication of surgically implanted prosthetic heart valves. Patients who have PVL can be asymptomatic or present with haemolysis, heart failure, or endocarditis. The goldstandard treatment for prosthetic-valve PVL is surgery to repair or...

Full description

Bibliographic Details
Main Authors: M. Boochi Babu, D. Rajasekhar, V. Vanajakshamma, A. Chandra, M. Hanumantha Rao, M.L. Sreenivasa Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-07-01
Series:Journal of Clinical and Scientific Research
Online Access:http://svimstpt.ap.nic.in/jcsr/jhome_files/jul-Sep%202013/CR4%20174.pdf
_version_ 1828881817766199296
author M. Boochi Babu
D. Rajasekhar
V. Vanajakshamma
A. Chandra
M. Hanumantha Rao
M.L. Sreenivasa Kumar
author_facet M. Boochi Babu
D. Rajasekhar
V. Vanajakshamma
A. Chandra
M. Hanumantha Rao
M.L. Sreenivasa Kumar
author_sort M. Boochi Babu
collection DOAJ
description Paravalvular leak (PVL) is a rare but potentially serious complication of surgically implanted prosthetic heart valves. Patients who have PVL can be asymptomatic or present with haemolysis, heart failure, or endocarditis. The goldstandard treatment for prosthetic-valve PVL is surgery to repair or replace the valve but carries higher operative risk compared to the initial procedure. In view of this, percutaneous transcatheter closure of PVL is becoming an increasingly attractive alternative strategy. In this report, we describe a case of mitral PVL in a patient with double-valve replacement, which was successfully closed using Cocoon duct occluder device (Vascular Innovations Co., Ltd, Thailand) via ante-grade approach, guided by transesophageal echocardiography (TEE) and fluoroscopy and without complete arterio-venous loop.
first_indexed 2024-12-13T10:15:52Z
format Article
id doaj.art-e9b350bf3df749ac81068785c2151904
institution Directory Open Access Journal
issn 2277-5706
2277-8357
language English
last_indexed 2024-12-13T10:15:52Z
publishDate 2013-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Clinical and Scientific Research
spelling doaj.art-e9b350bf3df749ac81068785c21519042022-12-21T23:51:19ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572013-07-0123174178Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacementM. Boochi Babu0 D. Rajasekhar1 V. Vanajakshamma2A. Chandra3 M. Hanumantha Rao4M.L. Sreenivasa Kumar5Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati Department of Cardiothoracic & Vascular Surgery, Sri Venkateswara Institute of Medical Sciences, Tirupati Department of Anaesthesiology, Sri Venkateswara Institute of Medical Sciences, TirupatiDepartment of Cardiology, Sri Venkateswara Institute of Medical Sciences, TirupatiParavalvular leak (PVL) is a rare but potentially serious complication of surgically implanted prosthetic heart valves. Patients who have PVL can be asymptomatic or present with haemolysis, heart failure, or endocarditis. The goldstandard treatment for prosthetic-valve PVL is surgery to repair or replace the valve but carries higher operative risk compared to the initial procedure. In view of this, percutaneous transcatheter closure of PVL is becoming an increasingly attractive alternative strategy. In this report, we describe a case of mitral PVL in a patient with double-valve replacement, which was successfully closed using Cocoon duct occluder device (Vascular Innovations Co., Ltd, Thailand) via ante-grade approach, guided by transesophageal echocardiography (TEE) and fluoroscopy and without complete arterio-venous loop.http://svimstpt.ap.nic.in/jcsr/jhome_files/jul-Sep%202013/CR4%20174.pdf
spellingShingle M. Boochi Babu
D. Rajasekhar
V. Vanajakshamma
A. Chandra
M. Hanumantha Rao
M.L. Sreenivasa Kumar
Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
Journal of Clinical and Scientific Research
title Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
title_full Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
title_fullStr Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
title_full_unstemmed Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
title_short Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
title_sort percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement
url http://svimstpt.ap.nic.in/jcsr/jhome_files/jul-Sep%202013/CR4%20174.pdf
work_keys_str_mv AT mboochibabu percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement
AT drajasekhar percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement
AT vvanajakshamma percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement
AT achandra percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement
AT mhanumantharao percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement
AT mlsreenivasakumar percutaneoustranscatheterclosureofamitralparavalvularleakviaanterogradeapproachwithoutarteriovenousloopinapatientwithdoublevalvereplacement