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Case Reports
. 2024 Feb 23;29(7):102270.
doi: 10.1016/j.jaccas.2024.102270. eCollection 2024 Apr 3.

Transcatheter Aortic Valve Replacement for Sutureless Bioprosthetic Valve Tilting Resulting in Severe Paravalvular Leak

Sandra Zendjebil  1 , Yohann Bohbot  1 , Thomas Hovasse  1 , Annabelle Nguyen  1 , Wassim Khoury  2 , Michel Habis  2 , Bernard Chevalier  1 , Mariama Akodad  1 , Philippe Garot  1
Affiliations
Case Reports

Transcatheter Aortic Valve Replacement for Sutureless Bioprosthetic Valve Tilting Resulting in Severe Paravalvular Leak

Sandra Zendjebil et al. JACC Case Rep. .

Abstract

Severe paravalvular leak (PVL) may be complicated by heart failure and haemolysis. PVL management is challenging, especially when the gap is large. We describe a case of PVL due to tilting of a sutureless biological prosthesis successfully treated by transcatheter aortic valve replacement (TAV-in-SAV).

Keywords: cardiac CT-scan; paravalvular leak; sutureless; transcatheter aortic replacement valve.

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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
Paravalvular Leak Reduction After TAVR in Tilted Bioprosthesis (A to C) Pre-TAVR CT scan displaying the tilted Perceval prosthesis, resulting in an anterior crescent-shaped PVL (arrows). Internal diameter of the prosthesis: 25.2 mm; area: 498 mm2; native annulus diameter estimated at 34.6 mm. (D) Transthoracic echocardiography showing resulting massive anterior aortic PVL (arrow). (E to G) Post-TAVR CT scan showing almost complete PVL occlusion (arrows) with a Sapien 3 29 mm valve inside the Perceval prosthesis (final internal diameter: 30.3 mm; area: 695 mm2). (H) Important PVL reduction (arrow). CT = computed tomography; PVL = paravalvular leak; TAVR = transcatheter aortic valve replacement.
See this image and copyright information in PMC

References

    1. Chiariello G.A., Villa E., Messina A., Troise G. Dislocation of a sutureless prosthesis after type I bicuspid aortic valve replacement. J Thorac Cardiovasc Surg. 2018;156(2):e87–e89. - PubMed
    1. Nguyen A., Fortin W., Mazine A., et al. Sutureless aortic valve replacement in patients who have bicuspid aortic valve. J Thorac Cardiovasc Surg. 2015;150(4):851–857. - PubMed
    1. Nagaoka E., Sato K., Hage A., et al. Rescue balloon aortic valvuloplasty after sutureless aortic valve replacement for severe paravalvular leak. Innovations (Phila) 2019;14(5):476–479. - PubMed
    1. Shah S., Alashi A., Pettersson G.B., et al. Characteristics and longer-term outcomes of paravalvular leak after aortic and mitral valve surgery. J Thorac Cardiovasc Surg. 2019;157(5):1785–1792.e1. - PubMed
    1. Laakso T., Laine M., Moriyama N., et al. Impact of paravalvular regurgitation on the mid-term outcome after transcatheter and surgical aortic valve replacement. Eur J Cardiothorac Surg. 2020;58(6):1145–1152. - PubMed

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