Percutaneous closure of paravalvular leak from a rocking mitral valve in a 74-year-old man at high surgical risk

Frank E. Corrigan; Jose Miguel Iturbe; Stamatios Lerakis; Norihiko Kamioka; Vasilis C. Babaliaros; Stephen D. Clements

doi:10.14503/THIJ-18-6626

Percutaneous closure of paravalvular leak from a rocking mitral valve in a 74-year-old man at high surgical risk

Frank E. Corrigan, Jose Miguel Iturbe, Stamatios Lerakis, Norihiko Kamioka, Vasilis C. Babaliaros, Stephen D. Clements

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.

Original language	English
Pages (from-to)	160-162
Number of pages	3
Journal	Texas Heart Institute Journal
Volume	47
Issue number	2
DOIs	https://doi.org/10.14503/THIJ-18-6626
State	Published - Apr 2020
Externally published	Yes

Keywords

Aged
Cardiac catheterization/instrumentation/methods
Heart valve prosthesis implantation/ adverse effects
Mitral valve insufficiency/diagnostic imaging/etiology
Percutaneous coronary intervention/ methods
Prosthesis failure
Risk factors
Treatment out-come

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10.14503/THIJ-18-6626

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title = "Percutaneous closure of paravalvular leak from a rocking mitral valve in a 74-year-old man at high surgical risk",

abstract = "Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.",

keywords = "Aged, Cardiac catheterization/instrumentation/methods, Heart valve prosthesis implantation/ adverse effects, Mitral valve insufficiency/diagnostic imaging/etiology, Percutaneous coronary intervention/ methods, Prosthesis failure, Risk factors, Treatment out-come",

author = "Corrigan, \{Frank E.\} and Iturbe, \{Jose Miguel\} and Stamatios Lerakis and Norihiko Kamioka and Babaliaros, \{Vasilis C.\} and Clements, \{Stephen D.\}",

note = "Publisher Copyright: {\textcopyright} 2020 by the Texas Heart{\textregistered} Institute, Houston.",

year = "2020",

month = apr,

doi = "10.14503/THIJ-18-6626",

language = "English",

volume = "47",

pages = "160--162",

journal = "Texas Heart Institute Journal",

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publisher = "Texas Heart Institute",

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T1 - Percutaneous closure of paravalvular leak from a rocking mitral valve in a 74-year-old man at high surgical risk

AU - Corrigan, Frank E.

AU - Iturbe, Jose Miguel

AU - Lerakis, Stamatios

AU - Kamioka, Norihiko

AU - Babaliaros, Vasilis C.

AU - Clements, Stephen D.

PY - 2020/4

Y1 - 2020/4

N2 - Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.

AB - Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.

KW - Aged

KW - Cardiac catheterization/instrumentation/methods

KW - Heart valve prosthesis implantation/ adverse effects

KW - Mitral valve insufficiency/diagnostic imaging/etiology

KW - Percutaneous coronary intervention/ methods

KW - Prosthesis failure

KW - Risk factors

KW - Treatment out-come

UR - https://www.scopus.com/pages/publications/85087428726

U2 - 10.14503/THIJ-18-6626

DO - 10.14503/THIJ-18-6626

M3 - Article

C2 - 32603469

AN - SCOPUS:85087428726

SN - 0730-2347

VL - 47

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JO - Texas Heart Institute Journal

JF - Texas Heart Institute Journal

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ER -

Percutaneous closure of paravalvular leak from a rocking mitral valve in a 74-year-old man at high surgical risk

Abstract

Keywords

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