"Valve-in-valve" for the treatment of paravalvular leaks following transcatheter aortic valve implantation.
Transcatheter aortic valve implantation (TAVI) is commonly associated with some degree of aortic regurgitation (AR) secondary to the presence of paravalvular leaks. We present the case of an 86-year-old woman diagnosed with severe aortic stenosis who underwent TAVI with a 23-mm Edwards-SAPIEN valve. The procedure complicated with a severe paravalvular leak following TAVI that was unresponsive to balloon postdilation. This complication was successfully managed with the implantation of a second valve of the same diameter within the first one ("valve-in-valve") resulting in trivial residual AR and the absence of significant transvalvular gradient at the end of the procedure.
Rodés-Cabau
Josep
J
Department of Cardiology, Quebec Heart and Lung Institute, Laval Hospital, Quebec, Canada. josep.rodes@crhl.ulaval.ca
Dumont
Eric
E
Doyle
Daniel
D
D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002404:Catheterization; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012720:Severity of Illness Index; D016896:Treatment Outcome