Transcatheter Valve-in-Valve Therapy Using a Balloon Expanding Valve for Treatment of Aortic Paravalvular Leakage
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Authors
Eskandari, Mehdi
Roy, James
Tzalamouras, Vasileios
Dworakowski, Rafal
Wendler, Olaf
Monaghan, Mark
MacCarthy, Philip
Byrne, Jonathan
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Issue Date
2019
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Article
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Abstract
Aortic paravalvular leakage (PVL) is a recognised complication of surgically replaced valves which is often treated using vascular plugs. Whilst transcatheter valve-in-valve therapy has been increasingly used for failed surgical bioprostheses, it is not considered as a treatment option for aortic PVL. However, the newer design of transcatheter aortic valves has a fabric skirt to create a more effective seal around the annulus. To our best knowledge, for the first time, we report successful adoption of the valve-in-valve therapy for the treatment of PVL in surgical bioprosthetic aortic valves such that the fabric skirt is placed immediately below the regurgitant orifice resulting in significant reduction in the PVL.
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Journal
Heart, Lung and Circulation
Volume
28
Issue
4