Attempt at off‐label balloon valvuloplasty post‐dilation for intuity sutureless valve. Issue 9 (15th July 2020)

• Record Type: Journal Article
• Authors: Mejia, Javier; Itagaki, Shinobu; Phillips, Katherine G.; El‐Eshmawi, Ahmed; Stewart, Allan
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 9(2020)
• Page Start: 2385
• Page End: 2387
• Publication Date: 2020-07-15
• Subjects: aorta and great vessels -- sutureless valve -- valve repair/replacement; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14803
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Alternatives to traditional aortic valve replacement now form part of the valve surgeon's armamentarium. Sutureless valves offer decreased bypass and crossclamp times, excellent maneuverability, and promising outcomes. We present a case of a sutureless aortic valve replacement for a late failed David procedure, complicated by postoperative development of severe paravalvular regurgitation. We attempted off‐label balloon post‐dilation to improve expansion of the valve, however paravalvular regurgitation persisted. The patient underwent subsequent aortic valve replacement using a mechanical valve and experienced no further paravalvular leak.