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Percutaneous closure of an aortic prosthetic paravalvular leak with an Amplatzer duct occluder

✍ Scribed by John G. Webb; Gordon E. Pate; Brad I. Munt


Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
433 KB
Volume
65
Category
Article
ISSN
1522-1946

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✦ Synopsis


Abstract

Following aortic valve replacement, up to 5% of patients may develop clinically significant paravalular leaks. Reoperation is associated with higher mortality and an excess risk of recurrent paravalvular insufficiency. No specifically designed transcatheter device is available for paravalular leak repair. We describe in a patient with severe aortic prosthetic paravalvular leak the use of an Amplatzer duct occluder device resulting in effective closure and symptomatic improvement. Β© 2005 Wiley‐Liss, Inc.


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## Abstract A 55‐year‐old male with persisting aorto‐right ventricular paraprosthetic leak after mitroaortic valve replacement was hospitalized for recurrent heart failure. Depressed left ventricular ejection fraction and severe pulmonary hypertension with increased right and left ventricular filli