TY - JOUR
T1 - Transcatheter Valve-in-Valve Therapy Using a Balloon Expanding Valve for Treatment of Aortic Paravalvular Leakage
AU - Eskandari, Mehdi
AU - Roy, James
AU - Vasileios, Tzalamouras
AU - Rafal, Dworakowski
AU - Olaf, Wendler
AU - Mark, Monaghan
AU - Philip, MacCarthy
AU - Jonathan, Byrne
PY - 2018/7/4
Y1 - 2018/7/4
N2 - 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 bioprsthetic aortic valves such that the fabric skirt is placed immediately below the regurgitant orifice resulting in significant reduction in the PVL.
AB - 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 bioprsthetic aortic valves such that the fabric skirt is placed immediately below the regurgitant orifice resulting in significant reduction in the PVL.
KW - Aortic valve
KW - Paravalvular regurgitation
KW - Valve in valve therapy
KW - Transcatheter aortic valve implantation
U2 - 10.1016/j.hlc.2018.06.1045
DO - 10.1016/j.hlc.2018.06.1045
M3 - Article
SN - 1443-9506
JO - Heart, Lung & Circulation
JF - Heart, Lung & Circulation
ER -