Transcatheter Valve-in-Valve Therapy Using a Balloon Expanding Valve for Treatment of Aortic Paravalvular Leakage

Mehdi Eskandari, James Roy, Tzalamouras Vasileios, Dworakowski Rafal, Wendler Olaf, Monaghan Mark, MacCarthy Philip, Byrne Jonathan

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

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 bioprsthetic aortic valves such that the fabric skirt is placed immediately below the regurgitant orifice resulting in significant reduction in the PVL.
Original languageEnglish
JournalHeart, Lung & Circulation
Early online date4 Jul 2018
DOIs
Publication statusE-pub ahead of print - 4 Jul 2018

Keywords

  • Aortic valve
  • Paravalvular regurgitation
  • Valve in valve therapy
  • Transcatheter aortic valve implantation

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