Antegrade transcatheter closure of a dehiscence of pulmonary bioprosthesis after pulmonary valve replacement with the Occlutech paravalvular leak device

Catheter Cardiovasc Interv. 2020 Mar 1;95(4):855-858. doi: 10.1002/ccd.28587. Epub 2019 Nov 12.

Abstract

We report a case of antegrade transcatheter occlusion of a paravalvular leak (PVL) after bioprosthetic pulmonary valve replacement in a 31-year-old patient with tetralogy of Fallot. The leak resulted in severe pulmonary regurgitation with right ventricle volume overload. This case is the first-ever report of a successful percutaneous closure of PVL using the Occlutech paravalvular leak device.

Keywords: cardiac catheterization; congenital heart disease; paravalvular leak; pulmonary valve.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bioprosthesis*
  • Cardiac Catheterization / instrumentation*
  • Cardiac Surgical Procedures* / adverse effects
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Prosthesis Design
  • Prosthesis Failure*
  • Pulmonary Valve Insufficiency / diagnostic imaging
  • Pulmonary Valve Insufficiency / etiology
  • Pulmonary Valve Insufficiency / physiopathology
  • Pulmonary Valve Insufficiency / surgery*
  • Recovery of Function
  • Recurrence
  • Tetralogy of Fallot / diagnostic imaging
  • Tetralogy of Fallot / physiopathology
  • Tetralogy of Fallot / surgery*
  • Treatment Outcome