Surgical Bailout Therapy after Implantation of a Medtronic CoreValve Bioprosthesis.
Moderate-to-severe paraprosthesic leak causing hemodynamic deterioration and left ventricular remodeling can occur after transcatheter aortic valve implantation (TAVI). We present the case of a 75-year-old woman who underwent TAVI with a 26 mm CoreValve prosthesis complicated with an acute left ventricle dilatation due to a severe paravalvular leak. Patient was unresponsive to elective balloon post-dilatation, and therefore she was successfully treated with open-heart surgery to remove the malfunctioning CoreValve bioprosthesis and perform standard aortic valve replacement.
Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal.
Rita
R
Calé
Cardiac Surgery Department, Santa Cruz Hospital, Lisbon, Portugal.
José
J
Neves
Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal.
Rui
R
Teles
Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal.
João
J
Brito
Cardiac Surgery Department, Santa Cruz Hospital, Lisbon, Portugal.
Miguel
M
Abecasis
Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal.
Manuel
M
Almeida
Cardiac Surgery Department, Santa Cruz Hospital, Lisbon, Portugal.
Tiago
T
Nolasco
Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal.
Miguel
M
Mendes