Transcatheter aortic valve closure to treat severe aortic regurgitation in a patient failing stage I palliation for hypoplastic left heart syndrome.
We present a patient with borderline left ventricle, in whom significant aortic regurgitation after failed attempt of biventricular repair with balloon valvuloplasty and consecutive Norwood stage 1 procedure substantially contributed to persisting hemodynamic instability. Transcatheter closure of the aortic valve using an Amplatzer(R) septal occluder was performed and led to clinical stabilization. At medium-term follow-up, there was neither residual aortic regurgitation nor obstruction of the coronary artery origins.
Riede
Frank-Thomas
FT
Department of Pediatric Cardiology, Heart Center, University of Leipzig, 04289 Leipzig, Germany. frank-thomas.riede@med.uni-leipzig.de
Kostelka
M
M
Dähnert
I
I
D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D007223:Infant; D008297:Male; D010166:Palliative Care; D011859:Radiography; D055989:Septal Occluder Device; D012720:Severity of Illness Index; D017211:Treatment Failure