title: Late Right Coronary Ostium Occlusion After Percutaneous Aortic Paravalvular Leak Closure: Immediate Results Do Not Always Predict Long-Term Performance.
abstract: We present an 83-year-old woman with history of two aortic valve replacements; 2 years after the last replacement, she developed heart failure and severe paravalvular leak (PVL) was detected. Percutaneous PVL closure was completed with a single Amplatzer Vascular Plug III. Two months later, the patient presented with late coronary obstruction requiring emergent surgical revascularization. To the best of our knowledge, this is the first report of late coronary obstruction after percutaneous PVL closure.
authors.affiliation: Hospital Clínic, C/Villarroel, 170, Cardiology Department, 08036 Barcelona, Spain. mhernane@clinic.ub.es.
authors.forename: Marco
authors.initials: M
authors.lastname: Hernández-Enríquez
authors.forename: María
authors.initials: M
authors.lastname: Ascaso
authors.forename: Xavier
authors.initials: X
authors.lastname: Freixa
authors.forename: Elena
authors.initials: E
authors.lastname: Sandoval
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Giacchi
authors.forename: Salvatore
authors.initials: S
authors.lastname: Brugaletta
authors.forename: Victoria
authors.initials: V
authors.lastname: Martin-Yuste
authors.forename: Eduard
authors.initials: E
authors.lastname: Quintana
authors.forename: Manel
authors.initials: M
authors.lastname: Sabaté
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery*; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D019560:Echocardiography, Three-Dimensional / Q000379:methods; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D000069451:Long Term Adverse Effects / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D009204:Myocardial Revascularization / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation / Q000009:adverse effects / Q000379:methods; D055989:Septal Occluder Device / Q000009:adverse effects*; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000503:physiopathology; D016896:Treatment Outcome