Rescue Balloon Aortic Valvuloplasty After Sutureless Aortic Valve Replacement for Severe Paravalvular Leak

Eiki Nagaoka, Keita Sato, Ali Hage, Rodrigo Bagur, Christopher Harle, Sanjay Asopa, Bob Kiaii

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Sutureless aortic valve replacement (AVR) is a wide-spreading new technology that provides short clamping time and excellent hemodynamic outcomes. However, among its possible complications is the risk of paravalvular leak. We present the case of a 63-year-old woman who underwent minimally invasive right mini-thoracotomy AVR) with Perceval S sutureless valve (LivaNova, London, UK). Intraoperative transesophageal echocardiography revealed severe paravalvular leak with stent distortion. Rescue balloon valvuloplasty was performed through the right femoral artery, and resulted in the resolution of the paravalvular leak. This case illustrates the utility and feasibility of balloon valvuloplasty in trouble-shooting sutureless aortic valve stent distortion, thus avoiding a repeat aortic cross-clamp and valve replacement.

Original languageEnglish (US)
Pages (from-to)476-479
Number of pages4
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume14
Issue number5
DOIs
StatePublished - Oct 1 2019
Externally publishedYes

Keywords

  • balloon valvuloplasty
  • bicuspid aortic valve
  • paravalvular leak
  • sutureless aortic valve

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Rescue Balloon Aortic Valvuloplasty After Sutureless Aortic Valve Replacement for Severe Paravalvular Leak'. Together they form a unique fingerprint.

Cite this