Third CoreValve™ insertion for treatment of a severe paravalvular leak after a failed valve-in-valve procedure

Rodrigo Estévez-Loureiro; Carlos Cuellas; Javier Gualis; Armando Pérez de Prado; Mario Castaño; Carlos Soria; David Alonso; Carmen Garrote; Miguel Ángel Rodríguez; Felipe Fernández-Vázquez

doi:10.1016/j.ijcha.2015.02.006

Third CoreValve™ insertion for treatment of a severe paravalvular leak after a failed valve-in-valve procedure

Int J Cardiol Heart Vasc. 2015 Feb 26:7:58-60. doi: 10.1016/j.ijcha.2015.02.006. eCollection 2015 Jun 1.

Affiliations

¹ Department of Cardiology, Complejo Asistencial Universitario de León, León, Spain.
² Department of Cardiovascular Surgery, Complejo Asistencial Universitario de León, León, Spain.
³ Department of Anesthesia, Complejo Asistencial Universitario de León, León, Spain.

Abstract

An 83-year-old high-risk gentleman diagnosed with severe symptomatic aortic stenosis was scheduled for TAVR. A 31 mm CoreValve was implanted but severe paravalvular leak was noted. A valve-in-valve procedure was performed. However, the valve frame was partially dislodged into de ascending aorta. We report our strategy to solve this severe leak after a failed valve-in-valve procedure.

Keywords: Complications; TAVI.