title: Percutaneous Closure of an Aortic Prosthetic Paravalvular Leak with Device in a Patient Presenting with Heart Failure.
abstract: Paravalvular leaks (PVLs) are a well-recognized complication of prosthetic valve replacement. Perivalvular prosthetic regurgitation causes significant morbidity and is associated with high perioperative mortality if open surgical repair is required. PVLs manifest with symptoms of congestive heart failure, hemolysis, or in most cases, the combination of both. In recent years, the development of imaging and device techniques significantly shortened the duration of fluoroscopy and procedure success was achieved. Percutaneous transcatheter closure of PVLs with a specific device causes symptomatic improvement. We present a case of transcatheter closure of aortic paravalvular insufficiency with amplatzer duct occluder 2 device.
authors.affiliation: Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery, Training and Research Hospital, Istanbul, Turkey.
authors.forename: Altug
authors.initials: A
authors.lastname: Osken
authors.affiliation: Department of Cardiology, Trabzon Vakfikebir State Hospital, Istanbul, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Aydin
authors.affiliation: Department of Cardiology, Sakarya University Medical Faculty, Istanbul, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Akdemir
authors.affiliation: Department of Cardiology, Sakarya University Medical Faculty, Istanbul, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Gunduz
keywords: Aortic valve prosthesis; device closure; paravalvular leakage