Cierre de parafuga valvular con dispositivos off - label: un recurso valioso

Emilio Herrera; Alberto Navarro; Julián Vanegas; Juan C Ortiz

doi:10.47487/apcyccv.v4i4.302

Authors

Emilio Herrera Departamento de Medicina Interna, Universidad de Antioquia, Medellín, Colombia. https://orcid.org/0000-0003-3160-5881
Alberto Navarro Departamento de Medicina Interna, Universidad de Antioquia, Medellín, Colombia. https://orcid.org/0000-0002-7428-1859
Julián Vanegas Departamento de Cardiología, Hospital Alma Mater de Antioquia, Medellín, Colombia. https://orcid.org/0009-0005-4903-0432
Juan C Ortiz Departamento de Medicina Interna, Universidad de Antioquia, Medellín, Colombia; Departamento de Cardiología, Hospital Alma Mater de Antioquia, Medellín, Colombia. https://orcid.org/0000-0003-0714-6814

DOI:

https://doi.org/10.47487/apcyccv.v4i4.302

Keywords:

Heart Valve Disease, Cardiac Valve Prosthesis, Aortic Valve Insufficiency

Abstract

We present the case of a patient with a paravalvular leak of mechanical prosthesis in aortic position. Due to a recent previous surgery, it was decided to perform a percutaneous repair to reduce perioperative risk, under an off-label indication using a device for ventricular septal defect closure, successful and without complications in the follow-up.

Downloads

Download data is not yet available.

References

Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al. ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561-632. doi: 10.1093/eurheartj/ehab395. Erratum in: Eur Heart J. 2022 Feb 18.

Ruiz CE, Hahn RT, Berrebi A, Borer JS, Cutlip DE, Fontana G, et al. Paravalvular Leak Academic Research Consortium. Clinical Trial Principles and Endpoint Definitions for Paravalvular Leaks in Surgical Prosthesis. Eur Heart J. 2018;39(15):1224-45.

Sorajja P, Bae R, Lesser JA, Pedersen WA. Percutaneous repair of paravalvular prosthetic regurgitation: patient selection, techniques and outcomes. Heart. 2015;101(9):665-73. doi: 10.1136/heartjnl-2014-306270.

Rihal CS, Sorajja P, Booker JD, Hagler DJ, Cabalka AK. Principles of percutaneous paravalvular leak closure. JACC Cardiovasc Interv. 2012;5(2):121-30. doi: 10.1016/j.jcin.2011.11.007.

Lancellotti P, Pibarot P, Chambers J, Edvardsen T, Delgado V, Dulgheru R, et al. Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2016;17(6):589-90. doi: 10.1093/ehjci/jew025.

Ribeiro HB, Orwat S, Hayek SS, Larose É, Babaliaros V, Dahou A, et al. Cardiovascular Magnetic Resonance to Evaluate Aortic Regurgitation After Transcatheter Aortic Valve Replacement. J Am Coll Cardiol. 2016;68(6):577-585. doi: 10.1016/j.jacc.2016.05.059.

Nietlispach F, Maisano F, Sorajja P, Leon MB, Rihal C, Feldman T. Percutaneous paravalvular leak closure: chasing the chameleon. Eur Heart J. 2016;37(47):3495-3502. doi: 10.1093/eurheartj/ehw165.

Cruz-González I, Luengo-Mondéjar P, Trejo-Velasco B, Núñez-García JC, González-Ferreiro R, Moreno-Samos JC, et al. Percutaneous Closure of Mitral Paravalvular Leak: Long-Term Results in a Single-Center Experience. J Clin Med. 2022;11(16):4835. doi:10.3390/jcm11164835.

Sorajja P, Cabalka AK, Hagler DJ, Rihal CS. Long-Term Follow-Up of Percutaneous Repair of Paravalvular Prosthetic Regurgitation. J Am Coll Cardiol. 2011;58(21):2218-24. doi: 10.1016/j.jacc.2011.07.041.

Kumar R, Jelnin V, Kliger C, Ruiz CE. Percutaneous Paravalvular Leak Closure. Cardiol Clin. 2013;31(3):431-40. doi: 10.1016/j.ccl.2013.05.004.