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Complications of transcatheter paravalvular leak device closure of mitral valve: An updated review of the literature and a rare case presentation.
Jenab, Yaser; Nourian, Saeed; Hosseini Mohammadi, Negin Sadat; Mohseni-Badalabadi, Reza; Hosseini, Kaveh; Zakavi, Sarina; Ates, Ismail.
Afiliación
  • Jenab Y; Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Nourian S; Firoozgar Clinical Research and Development Center, Iran University of Medical Sciences, Tehran, Iran.
  • Hosseini Mohammadi NS; Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohseni-Badalabadi R; Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Science, Tehran, Iran.
  • Hosseini K; Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Zakavi S; Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Ates I; Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Science, Tehran, Iran.
Clin Cardiol ; 47(5): e24272, 2024 May.
Article en En | MEDLINE | ID: mdl-38742736
ABSTRACT
Paravalvular leak (PVL) is an uncommon complication of prosthetic valve implantation, which can lead to infective endocarditis, heart failure, and hemolytic anemia. Surgical reintervention of PVLs is associated with high mortality rates. Transcatheter PVL closure (TPVLc) has emerged as an alternative to surgical reoperation. This method provides a high success rate with a low rate of complications. This article reviews the pathogenesis, clinical manifestation, diagnosis, and management of PVL and complications following TPVLc. Besides, we presented a case of a patient with severe PVL following mitral valve replacement, who experienced complete heart block (CHB) during TPVLc. The first TPVLc procedure failed in our patient due to possible AV-node insult during catheterization. After 1 week of persistent CHB, a permanent pacemaker was implanted. The defect was successfully passed using the previous attempt. Considering the advantages of TPVLc, procedure failure should be regarded as a concern. TPVLc should be performed by experienced medical teams in carefully selected patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Falla de Prótesis / Prótesis Valvulares Cardíacas / Cateterismo Cardíaco / Implantación de Prótesis de Válvulas Cardíacas / Válvula Mitral Límite: Aged / Female / Humans / Male Idioma: En Revista: Clin Cardiol Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Falla de Prótesis / Prótesis Valvulares Cardíacas / Cateterismo Cardíaco / Implantación de Prótesis de Válvulas Cardíacas / Válvula Mitral Límite: Aged / Female / Humans / Male Idioma: En Revista: Clin Cardiol Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos