Percutaneous Paravalvular Leak Closure Early Post-MV Replacement With Retrieval of Embolized Muscular VSD Device

Abuelatta, Reda; Naeim, Hesham Abdo

doi:10.1016/j.jaccas.2019.08.024

Cited by 2 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Percutaneous valve closure is less invasive, permits multiple attempts, and is an option in patients who are at high risk for open heart surgery [8,9]. Another similar case report, by Abueletta et al, advocates that percutaneous PVL closure with VSD can be done at least 3 months after the prior surgery [10]. However, we believe it is best not to wait that long after surgery, and suggest prompt intervention because of worse clinical outcomes.…”

Section: Discussionmentioning

confidence: 90%

Closure of a Prosthetic Mitral Valve Paravalvular Leak Using a Ventricular Septal Defect (VSD) Amplatzer Occluder Device

et al. 2020

View full text Add to dashboard Cite

Unusual clinical course Background:Paravalvular leaks (PVL) are becoming more commonly experienced in clinical practice due to the increasing number of mitral valve replacements performed. There are about 182 000 valve replacements performed annually, with a 5-15% prevalence rate of paravalvular leaks. Due to increased mortality associated with surgical repair, percutaneous transcatheter closure procedures are increasingly being performed as an alternative to repeat surgery. Case Report:We present the case of a 52-year-old woman with past medical history of mitral valve endocarditis who developed worsening acute heart failure 1 month after surgical bioprosthetic mitral valve replacement. Transesophageal echocardiography at the time revealed dehiscence of the bioprosthetic mitral valve and severe mitral regurgitation. She subsequently had emergent surgical bioprosthetic mitral valve replacement and annular reconstruction. The post-operative course was complicated by increasing dyspnea and lower-extremity edema, with recurrent pericardial tamponade requiring placement of a pericardial window. Based on her multiple comorbidities, most notably the concomitant right ventricular failure with severe pulmonary hypertension and prior pericardial patch repair with compromise of her mitral valve annulus, she was deemed inoperable for re-do surgery and eventually underwent a successful percutaneous closure of the mitral paravalvular leak with a ventricular septal defect (VSD) Amplatzer occluder device. The patient made good recovery and was discharged home a few days after the procedure. Conclusions:Although use of the Amplatzer VSD occluder device for this indication currently remains off-label, our report supports the use of the VSD occluder device in this subset of patients considering the high mortality rates associated with repeat surgical procedure.

show abstract

Section: Discussionmentioning

confidence: 90%

Closure of a Prosthetic Mitral Valve Paravalvular Leak Using a Ventricular Septal Defect (VSD) Amplatzer Occluder Device

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Risk factors for embolization of paravalvular leak devices include very large regurgitant orifices, more than one interlocking device and inadequate annular fibrosis in an acute postoperative setting. 1) 2) On a follow-up of 6 years, he was asymptomatic with normal prosthesis function and permanent atrial fibrillation.…”

mentioning

confidence: 98%

Embolization of Two Occluder Devices Following Device Closure of Acute Postoperative Mitral Paravalvular Leak

Sivakumar

Singhi²

2021

J Cardiovasc Imaging

View full text Add to dashboard Cite

A 36-year-old male underwent mitral valve replacement with a single leaflet mechanical prosthesis for rheumatic chronic severe mitral regurgitation associated with cardiac cachexia, chronic atrial fibrillation, and severe pulmonary hypertension. His postoperative period was complicated by uncontrolled heart failure, recurrent refractory pericardial and pleural effusions, warranting creation of surgical pleuro pericardial window through a left anterolateral thoracotomy. A mild mitral paravalvular leak adjacent to the left atrial

show abstract

Percutaneous Paravalvular Leak Closure Early Post-MV Replacement With Retrieval of Embolized Muscular VSD Device

Cited by 2 publications

References 7 publications

Closure of a Prosthetic Mitral Valve Paravalvular Leak Using a Ventricular Septal Defect (VSD) Amplatzer Occluder Device

Closure of a Prosthetic Mitral Valve Paravalvular Leak Using a Ventricular Septal Defect (VSD) Amplatzer Occluder Device

Embolization of Two Occluder Devices Following Device Closure of Acute Postoperative Mitral Paravalvular Leak

Contact Info

Product

Resources

About