Surgery for delayed leaflet impingement after transcatheter closure of a paravalvular leak associated with an aortic pseudoaneurysm. (March 2023)

• Record Type: Journal Article
• Authors: Fiore, Antonio; Piscitelli, Mariantonietta; Rabia, Amel; Folliguet, Thierry; Nappi, Francesco; Gallet, Romain
• Is Part Of: Perfusion. Volume 38:Number 2(2023)
• Page Start: 432
• Page End: 435
• Publication Date: 2023-03
• Subjects: paravalvular leak -- percutaneous transcatheter closure -- valve prosthesis -- re-operative surgery -- Amplatzer occluder device; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/02676591211057505
• Languages: English
• ISSNs: 0267-6591

Abstract

Background: Paravalvular leak (PVL) is a recognized and challenging complication after surgical or transcatheter valve replacement. The transcatheter closure of PVL has become the first-line treatment in clinical practice when the procedure is not contraindicated. Transcatheter PVL closure rests on a complex procedure and complications still occur in approximately 9% of patients. Case Report: We describe the case of a delayed mechanical prosthetic leaflet impingement after transcatheter closure of a paravalvular leak associated with a Valsalva pseudoaneurysm that required an urgent surgery. Conclusion: Aorta–left ventricle communication could be a relative contraindication to be assessed on a case-by-case basis, but transcatheter closure does not preclude subsequent attempt for surgical repair and outcome.