Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure

Hani Alturkmani; Jack Xu; Adib Chaus; Srikanth Vallurupalli; Gaurav Dhar

doi:10.14797/mdcvj.1140

Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure

Methodist DeBakey Cardiovascular Journal

Volume 18 (2022): Issue 1

By: Hani Alturkmani, Jack Xu , Adib Chaus, Srikanth Vallurupalli and Gaurav Dhar

Open Access

|Dec 2022

Abstract

This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prosthetic paravalvular leak (PVL) severity. Subsequent percutaneous PVL closure with a ventricular septal defect occluder successfully reduced the PVL severity and led to significant clinical improvement.

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Articles in this issue

DOI: https://doi.org/10.14797/mdcvj.1140 | Journal eISSN: 1947-6108

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Language: English

Page range: 117 - 120

Submitted on: May 23, 2022

Accepted on: Oct 21, 2022

Published on: Dec 8, 2022

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

mitral valve endocarditis,

valvular dehiscence,

valve in valve,

paravalvular leak

© 2022 Hani Alturkmani, Jack Xu, Adib Chaus, Srikanth Vallurupalli, Gaurav Dhar, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 18 (2022): Issue 1