Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis

In an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients, paravalvular leak remains the intervention’s Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an optimal clinical outcome. We pre...

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Main Authors: Georgios Tzimas, Eric Eeckhout, Panagiotis Antiochos, Christan Roguelov, Stephane Fournier, Brahim Harbaoui, Pierre Monney, Olivier Muller
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/4825607
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author Georgios Tzimas
Eric Eeckhout
Panagiotis Antiochos
Christan Roguelov
Stephane Fournier
Brahim Harbaoui
Pierre Monney
Olivier Muller
author_facet Georgios Tzimas
Eric Eeckhout
Panagiotis Antiochos
Christan Roguelov
Stephane Fournier
Brahim Harbaoui
Pierre Monney
Olivier Muller
author_sort Georgios Tzimas
collection DOAJ
description In an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients, paravalvular leak remains the intervention’s Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an optimal clinical outcome. We present here the first case report in which percutaneous valvular closure using Amplatzer plugs followed by a TAV-in-TAV intervention during the same procedure managed to resolve a severe paravalvular leak with haemodynamic instability, after TAVI for a bicuspid aortic stenosis.
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institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-e0db7c89821a420699026e8bc572e21d2025-02-03T01:12:20ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/48256074825607Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic StenosisGeorgios Tzimas0Eric Eeckhout1Panagiotis Antiochos2Christan Roguelov3Stephane Fournier4Brahim Harbaoui5Pierre Monney6Olivier Muller7Department of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, Hospices civils de Lyon, hôpital de la Croix-Rousse, 103 Grand Rue de la Crx Rousse, 69004 Lyon, FranceDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandDepartment of Cardiology, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1005 Lausanne, SwitzerlandIn an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients, paravalvular leak remains the intervention’s Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an optimal clinical outcome. We present here the first case report in which percutaneous valvular closure using Amplatzer plugs followed by a TAV-in-TAV intervention during the same procedure managed to resolve a severe paravalvular leak with haemodynamic instability, after TAVI for a bicuspid aortic stenosis.http://dx.doi.org/10.1155/2019/4825607
spellingShingle Georgios Tzimas
Eric Eeckhout
Panagiotis Antiochos
Christan Roguelov
Stephane Fournier
Brahim Harbaoui
Pierre Monney
Olivier Muller
Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
Case Reports in Cardiology
title Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
title_full Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
title_fullStr Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
title_full_unstemmed Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
title_short Percutaneous Valvular Closure Followed by TAV-in-TAV Intervention during a Single Procedure in order to Treat a Severe Paravalvular Leak after Performing TAVI in a Bicuspid Aortic Stenosis
title_sort percutaneous valvular closure followed by tav in tav intervention during a single procedure in order to treat a severe paravalvular leak after performing tavi in a bicuspid aortic stenosis
url http://dx.doi.org/10.1155/2019/4825607
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