title: Left ventricular geometry and systolic function improvement after percutaneous closure of aortic prosthetic paravalvular leak.
abstract: Paravalvular leak (PVL) represents a potential complication of valve replacement surgery. The 'gold standard' treatment for patients with severe prosthetic dysfunction, hemolysis or symptoms, is surgery. Reoperative valve surgery for such patients is related to high morbidity and mortality rate. The percutaneous closure of PVL is feasible and safe, when performed at experienced interventional cardiologic centers. Herein, the case is reported of a patient who showed a significant improvement in left ventricular systolic function after transcatheter closure of an aortic prosthetic PVL with an Amplatzer duct occluder II (ADO II). A review of the current literature is also provided.
authors.affiliation: Noninvasive Diagnostics Department, Cardiology Section, Onassis Cardiac Surgery Center, Athens, Greece. efidemeri@otenet.gr
authors.forename: Eftychia
authors.initials: E
authors.lastname: Demerouti
authors.affiliation: lnterventional Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Leontiadis
authors.affiliation: Noninvasive Diagnostics Department, Cardiology Section, Onassis Cardiac Surgery Center, Athens, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Karatasakis
authors.forename: George
authors.initials: G
authors.lastname: Athanassopoulos
authors.affiliation: Division of Pediatric Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
authors.forename: Spyridon
authors.initials: S
authors.lastname: Rammos
authors.affiliation: lnterventional Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece.
authors.forename: Gregory
authors.initials: G
authors.lastname: Pavlides
mesh_terms: D001021:Aortic Valve / Q000503:physiopathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006328:Cardiac Catheterization / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D020127:Recovery of Function; D055989:Septal Occluder Device; D013599:Systole; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D020257:Ventricular Remodeling