Review of surgical prosthetic paravalvular leaks: diagnosis and catheter-based closure

Kliger, Chad; Eirós, Rocío; Isasti, Guillermo; Einhorn, Bryce; Jelnin, Vladimir; Cohen, Howard A.; Kronzon, Itzhak; Perk, Gila; Fontana, Gregory P.; Ruiz, Carlos E.

doi:10.1093/eurheartj/ehs347

Cited by 161 publications

(144 citation statements)

References 37 publications

Supporting

Mentioning

125

Contrasting

Unclassified

Order By: Relevance

“…Surgical intervention to repair the leak improves symptoms of congestive heart failure, augments the hematocrit value, decreases the need for blood transfusion, and is an independent predictor of long-term survival when compared with medical therapy. Choice of operation involves either direct suture repair of the leak site, which carries a failure rate of 13%; or replacement of the valve, which carries a failure rate of up to 35% (21). In our study group of 47 patients we preferred to have direct suture repair in 28 patients (59.6%) and failure was observed in 1 patient (3.57%) however, and 19 patients (40.4%) underwent re-replacement and the failure was observed in 1 patients (5.26%) and there is no difference between the failure rates of the two groups.…”

Section: Discussionmentioning

confidence: 99%

The relation between location of paravalvular leakage and time to reoperation after mitral valve replacement: an observational study

Yanartaş

Demir²,

Baysal³

et al. 2013

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

Objective: A relation between the location of the paravalvular leakage (PVL) and time to reoperation after mitral mechanical valve replacement was investigated. Methods: In an observational retrospective study plan, from 59 patients who underwent reoperation only 47 patients having clinical and echocardiographic follow-up for five years were included into study. Depending on echocardiographic evaluation of location of leak, patients were divided into Group 1 (Leaflet) and Group 2 (Commissural). Demographics, preoperative variables, causes of reoperation, the time period between diagnosis of PVL and reoperation were recorded. Unpaired t test or Mann-Whitney U test were used for comparison of variables between groups. Results: A PVL was diagnosed after a median time of 180 days (range: 1 day-28 years) after the first mitral valve replacement. The median followup period was 5 years (range; 1-16 years). Age, gender, left ventricular ejection function, number and size of leaks did not differ between groups (p>0.05). The time period between diagnosis and reoperation time was longer in Group 1 in comparison to Group 2 (39.0±9.9 vs. 19.5±12.8 months, p=0.002). The 30-day mortality for valve reoperation was 4.3% (2/47). In Group 1, 2 patients (2/21, 9.8%) died whereas, no death was observed in Group 2 (0/26, 0%) (p=0.002). Conclusion:The time period between diagnosis and reoperation was longer in leaflet leak group in comparison to commissural leak group. We suggest echocardiographic evaluation should include location of the paravalvular leakage during follow-up of patients with PVL after mitral valve replacement. (Anadolu Kardiyol Derg 2014; 14: 61-7)

show abstract

Section: Discussionmentioning

confidence: 99%

The relation between location of paravalvular leakage and time to reoperation after mitral valve replacement: an observational study

Yanartaş

Demir²,

Baysal³

et al. 2013

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…Hourihan performed the first reported transcatheter closure of PVL in 1992 with double umbrella device and since then the technique is considerably developed [3]. Percutaneous PVL closure has been shown to be safe and effective treatment in different series [4,[5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Transapical Paravalvular Leak Closure: A Case Report

Ilkay¹,

Tari²,

Canbay³

et al. 2017

Angiol

View full text Add to dashboard Cite

show abstract

“…Known risk factors for PVL occurrence include annular calcification, small prosthetic size, inadequate suturing technique, and infection [15]. PVLs that are identified soon after implantations are most often secondary to technical complications of the operation; in contrast, PVLs identified late after surgery are most frequently a consequence of infectious endocarditis or secondary to significant annular calcification [16].…”

Section: Etiology and Natural Historymentioning

confidence: 99%

Real-Time 3D Transesophageal Echocardiographic Guidance of Prosthetic Valve Paravalvular Leak

Venturini¹,

Mediratta²,

Addetia³

et al. 2015

jshd

View full text Add to dashboard Cite

Key Word 3D TEE Guidance Cases Case 1A 64-year-old female with history of congenital heart disease requiring ostium primum atrial septal defect (ASD) repair and multiple mitral valve replacements presented with worsening heart failure. Most recently, she underwent a third mechanical mitral valve replacement (in the setting of severe PVL), mechanical aortic valve replacement, tricuspid valve repair, and ventricular septal defect repair. Since her last surgery, she developed New York Heart

show abstract

Review of surgical prosthetic paravalvular leaks: diagnosis and catheter-based closure

Cited by 161 publications

References 37 publications

The relation between location of paravalvular leakage and time to reoperation after mitral valve replacement: an observational study

The relation between location of paravalvular leakage and time to reoperation after mitral valve replacement: an observational study

Transapical Paravalvular Leak Closure: A Case Report

Real-Time 3D Transesophageal Echocardiographic Guidance of Prosthetic Valve Paravalvular Leak

Contact Info

Product

Resources

About