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...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2013-07-01
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Series: | Journal of Clinical and Scientific Research |
Online Access: | http://svimstpt.ap.nic.in/jcsr/jhome_files/jul-Sep%202013/CR4%20174.pdf |
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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 |
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