Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch

A 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed to...

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Autores principales:	William Peverill, MBBS, FRCPA, Michael W.A. Chu, MD, MSc, FRCSC, Pantelis Diamantouros, MD, FRCPC, Rodrigo Bagur, MD, PhD, FRCPC, FAHA
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/855e94712eeb43ad9b5c7887ea5ef6d3
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spelling	oai:doaj.org-article:855e94712eeb43ad9b5c7887ea5ef6d32021-11-26T04:38:31ZTranscatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch2589-790X10.1016/j.cjco.2021.06.004https://doaj.org/article/855e94712eeb43ad9b5c7887ea5ef6d32021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589790X21001578https://doaj.org/toc/2589-790XA 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed tomography images suggested evidence of prosthesis–annulus mismatch. Therefore, a redo transcatheter aortic valve implantation utilizing a 29-mm SAPIEN 3 transcatheter aortic valve was performed. This case illustrates the importance of proper valve sizing to avoid paravalvular leak, and how to safely cross an ACURATE-neo valve to avoid catheter entangling. Résumé: Un homme de 75 ans présentant une sténose aortique symptomatique sévère a subi l'implantation d'une valve aortique par cathéter, dont une ACURATE neo de 27-mm compliquée par une fuite paravalvulaire sévère. Par la suite, le patient a présenté une insuffisance cardiaque sévère . Une nouvelle analyse de ses examens tomodensitométriques a indiqué des signes d'incompatibilité entre la prothèse et l'anneau mitral. Il a donc fallu réaliser une nouvelle implantation valvulaire aortique par cathéter avec une valve SAPIEN 3 de 29 mm. Ce cas illustre l'importance d'une bonne évaluation de l'anneau valvulaire pour éviter les fuites paravalvulaires, et décrit comment traverser une valve ACURATE neo pour éviter l'enchevêtrement du cathéter.William Peverill, MBBS, FRCPAMichael W.A. Chu, MD, MSc, FRCSCPantelis Diamantouros, MD, FRCPCRodrigo Bagur, MD, PhD, FRCPC, FAHAElsevierarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCJC Open, Vol 3, Iss 10, Pp 1320-1322 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 William Peverill, MBBS, FRCPA Michael W.A. Chu, MD, MSc, FRCSC Pantelis Diamantouros, MD, FRCPC Rodrigo Bagur, MD, PhD, FRCPC, FAHA Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
description	A 75-year-old male with severe symptomatic aortic stenosis underwent transcatheter aortic valve implantation with a Large (27-mm) ACURATE-neo transcatheter aortic valve, complicated by severe paravalvular leak. He developed rapid and progressive worsening heart failure. Reanalysis of the computed tomography images suggested evidence of prosthesis–annulus mismatch. Therefore, a redo transcatheter aortic valve implantation utilizing a 29-mm SAPIEN 3 transcatheter aortic valve was performed. This case illustrates the importance of proper valve sizing to avoid paravalvular leak, and how to safely cross an ACURATE-neo valve to avoid catheter entangling. Résumé: Un homme de 75 ans présentant une sténose aortique symptomatique sévère a subi l'implantation d'une valve aortique par cathéter, dont une ACURATE neo de 27-mm compliquée par une fuite paravalvulaire sévère. Par la suite, le patient a présenté une insuffisance cardiaque sévère . Une nouvelle analyse de ses examens tomodensitométriques a indiqué des signes d'incompatibilité entre la prothèse et l'anneau mitral. Il a donc fallu réaliser une nouvelle implantation valvulaire aortique par cathéter avec une valve SAPIEN 3 de 29 mm. Ce cas illustre l'importance d'une bonne évaluation de l'anneau valvulaire pour éviter les fuites paravalvulaires, et décrit comment traverser une valve ACURATE neo pour éviter l'enchevêtrement du cathéter.
format	article
author	William Peverill, MBBS, FRCPA Michael W.A. Chu, MD, MSc, FRCSC Pantelis Diamantouros, MD, FRCPC Rodrigo Bagur, MD, PhD, FRCPC, FAHA
author_facet	William Peverill, MBBS, FRCPA Michael W.A. Chu, MD, MSc, FRCSC Pantelis Diamantouros, MD, FRCPC Rodrigo Bagur, MD, PhD, FRCPC, FAHA
author_sort	William Peverill, MBBS, FRCPA
title	Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_short	Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_full	Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_fullStr	Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_full_unstemmed	Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch
title_sort	transcatheter balloon-expandable valve-in-valve to treat severe paravalvular leak secondary to acurate-neo self-expanding prosthesis–annulus mismatch
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/855e94712eeb43ad9b5c7887ea5ef6d3
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Transcatheter Balloon-Expandable Valve-in-Valve to Treat Severe Paravalvular Leak Secondary to ACURATE-neo Self-expanding Prosthesis–Annulus Mismatch

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