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Percutaneous closure of paravalvular leak — case report on first procedure in Croatia

Robert Bernat orcid.org/0000-0001-8722-9497 ; Magdalena -— Clinic for cardiovascular diseases, Medical Faculty Osijek Krapinske Toplice, Croatia
Aleksandar Trbović ; Magdalena -— Clinic for cardiovascular diseases, Medical Faculty Osijek Krapinske Toplice, Croatia
Mladen Novkoski ; Magdalena -— Clinic for cardiovascular diseases, Medical Faculty Osijek Krapinske Toplice, Croatia
Zvonimir Ante Korda ; Magdalena -— Clinic for cardiovascular diseases, Medical Faculty Osijek Krapinske Toplice, Croatia

Abstract

Clinically significant paravalvular leak (PVL) after prosthetic valve implantation is a rare, but potentially serious complication. Repeat surgery is associated with significant risks and may fail, because the original cause of leak is not always amenable to correction. Percutaneous PVL closure has been introduced as an important alternative with documented good immediate and late results.
We present a case of PVL closure in a young patient using the Amplatzer Vascular plug III device, guided by periprocedural transesophageal echocardiography. Immediate success and mid-term result could be documented. In view of the significant number of prosthetic valve implantations in Croatia, an increase in the need for this type of intervention can be expected each year.

Keywords

prosthetic valve replacement; paravalvular leak; percutaneous closure

Hrčak ID:

112589

URI

https://hrcak.srce.hr/112589

Publication date:

17.12.2013.

Article data in other languages: croatian

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