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

doi:10.1177/1556984519864938

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 journal › Article › peer-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 language	English (US)
Pages (from-to)	476-479
Number of pages	4
Journal	Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume	14
Issue number	5
DOIs	https://doi.org/10.1177/1556984519864938
State	Published - Oct 1 2019
Externally published	Yes

Keywords

balloon valvuloplasty
bicuspid aortic valve
paravalvular leak
sutureless aortic valve

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1177/1556984519864938

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Rescue Balloon Aortic Valvuloplasty After Sutureless Aortic Valve Replacement for Severe Paravalvular Leak. / Nagaoka, Eiki; Sato, Keita; Hage, Ali; Bagur, Rodrigo; Harle, Christopher; Asopa, Sanjay; Kiaii, Bob.

In: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, Vol. 14, No. 5, 01.10.2019, p. 476-479.

Research output: Contribution to journal › Article › peer-review

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AU - Harle, Christopher

AU - Asopa, Sanjay

AU - Kiaii, Bob

PY - 2019/10/1

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N2 - 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.

AB - 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.

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

Abstract

Keywords

ASJC Scopus subject areas

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