Rescue Balloon Aortic Valvuloplasty After Sutureless Aortic Valve Replacement for Severe Paravalvular Leak-Reference-Cited by-同舟云学术

Rescue Balloon Aortic Valvuloplasty After Sutureless Aortic Valve Replacement for Severe Paravalvular Leak

Published:2019-09-30 Issue:5 Volume:14 Page:476-479
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Nagaoka Eiki¹,Sato Keita²,Hage Ali¹,Bagur Rodrigo³,Harle Christopher²,Asopa Sanjay¹,Kiaii Bob¹

Affiliation:

1. Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, Ontario, Canada

2. Department of Anesthesia and Perioperative Medicine, Western University, London Health Sciences Centre, Ontario, Canada

3. Division of Cardiology, Department of Medicine, Western University, London Health Sciences Centre, Ontario, Canada

Abstract

Sutureless aortic valve replacement (AVR) is a wide-spreading new technology that provides short clamping time and excellent hemodynamic outcomes. However, among its possible complications is the risk of paravalvular leak. We present the case of a 63-year-old woman who underwent minimally invasive right mini-thoracotomy AVR) with Perceval S sutureless valve (LivaNova, London, UK). Intraoperative transesophageal echocardiography revealed severe paravalvular leak with stent distortion. Rescue balloon valvuloplasty was performed through the right femoral artery, and resulted in the resolution of the paravalvular leak. This case illustrates the utility and feasibility of balloon valvuloplasty in trouble-shooting sutureless aortic valve stent distortion, thus avoiding a repeat aortic cross-clamp and valve replacement.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1556984519864938

Reference4 articles.

1. Right anterior minithoracotomy versus conventional aortic valve replacement: A propensity score matched study

2. The Perceval S Aortic Valve Has the Potential of Shortening Surgical Time: Does It Also Result in Improved Outcome?

3. Stent distortion after sutureless aortic valve implantation: a new complication seen with a novel surgical technique

4. Sutureless aortic valve replacement in patients who have bicuspid aortic valve

Cited by 2 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Transcatheter Aortic Valve Replacement for Sutureless Bioprosthetic Valve Tilting Resulting in Severe Paravalvular Leak;JACC: Case Reports;2024-04

2. Attempt at off‐label balloon valvuloplasty post‐dilation for intuity sutureless valve;Journal of Cardiac Surgery;2020-07-15