Percutaneous Treatment of Paravalvular Leak in Rapid-Deployment Bioprosthetic Aortic Valve With Balloon Dilation

Carlo Andrea Pivato; Damiano Regazzoli; Alexia Rossi; Beniamino Pagliaro

doi:10.1016/j.carrev.2020.05.007

Percutaneous Treatment of Paravalvular Leak in Rapid-Deployment Bioprosthetic Aortic Valve With Balloon Dilation

Cardiovasc Revasc Med. 2020 Nov;21(11S):47-49. doi: 10.1016/j.carrev.2020.05.007. Epub 2020 May 15.

Authors

Carlo Andrea Pivato¹, Damiano Regazzoli², Alexia Rossi², Beniamino Pagliaro²

Affiliations

¹ Humanitas Clinical and Research Center, IRCCS, via Manzoni 56, 20089 Rozzano (Mi), Italy; Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele - Milan, Italy. Electronic address: carloandreapivato@gmail.com.
² Humanitas Clinical and Research Center, IRCCS, via Manzoni 56, 20089 Rozzano (Mi), Italy.

PMID: 32448776
DOI: 10.1016/j.carrev.2020.05.007

Abstract

Rapid deployment aortic valve prostheses have become a common solution for aortic valve replacement. While >mild prognostic paravalvular leaks are not infrequent, their treatment is not yet clear. We report the case of an 82-year-old man that presented with acute heart failure. Previously implanted rapid deployment bioprosthetic aortic valve (Intuity Elite, Edwards Lifesciences, Irvine, California) presented a significant paravalvular leak that seemed to be secondary to valve underexpansion. Percutaneous balloon post dilation was performed and resulted in better expansion of the valve and its sealing skirt with a significant reduction of the leak.

Keywords: Paravalvular leak; Percutaneous treatment; Rapid deployment aortic valve.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Valve / surgery
Aortic Valve Stenosis* / surgery
Dilatation
Heart Valve Prosthesis Implantation*
Heart Valve Prosthesis*
Humans
Male
Prosthesis Design
Treatment Outcome