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. 2022 Jul 6;4(13):799-801.
doi: 10.1016/j.jaccas.2022.04.003.

Kissing Balloon "Valvuloplasty" of Obstructed Mechanical Aortic Valve: When You Are Running Out of Options

David Smith  1 , Ayush Khurana  1 , Aprim Youhana  2 , Adrian Ionescu  1
Affiliations

Kissing Balloon "Valvuloplasty" of Obstructed Mechanical Aortic Valve: When You Are Running Out of Options

David Smith et al. JACC Case Rep. .

Abstract

We report an unusual case where "stuck" bileaflet aortic prosthetic valve occluders were partly released by performing emergency balloon dilatation with 2 noncompliant balloons by a percutaneous femoral approach. (Level of Difficulty: Advanced.).

Keywords: AVR, aortic valve replacement; EF, ejection fraction; LV, left ventricular; MVR, mitral valve replacement; mechanical valves; obstructed occluders; pannus; t-PA, tissue-type plasminogen activator.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Balloon Valvuloplasty of Bileaflet Prosthetic Aortic Valve (A) Fluoroscopic en face view of bileaflet mechanical aortic prosthesis showing stuck occluders. (B) Simultaneous inflation of a 3.5-mm balloon centrally and a 6-mm balloon on the other side of the occluder. (C and D) Pre- and post-gradients on Doppler echocardiography. (E) Chest radiograph before percutaneous intervention showing pulmonary congestion. (F) Chest radiograph post–balloon intervention showing resolution of chest congestion.
See this image and copyright information in PMC

References

    1. Biteker M., Altun I., Ozcan B., Dogan V., Yldirim B., Erguna G. Treatment of prosthetic valve thrombosis: current evidence and future directions. J Clin Med Res. 2015;7:932–936. - PMC - PubMed
    1. Kandzari D.E., Carlson H., Gott J.P., Kaul P., Brown W.M. Balloon “valvuloplasty” for mechanical valve dysfunction. J Am Coll Cardiol Intv. 2017;10(5):e47–e49. - PubMed

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