Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique
Significant (moderate or severe) paravalvular leak (PVL) after transcatheter aortic valve replacement (TAVR) remains a common phenomenon and has been associated with decrease survival and quality of life. Transcatheter valve embolization and migration (TVEM) is a rare post-TAVR complication that can...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/4458109 |
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| author | Diego H. González-Bravo Pedro Colón-Hernández Melanie Quintana-Serrano Sergio Alegre-Boschetti Juan Vázquez-Fuster José J. Acevedo-Valles Eric Avilés-Rivera |
| author_facet | Diego H. González-Bravo Pedro Colón-Hernández Melanie Quintana-Serrano Sergio Alegre-Boschetti Juan Vázquez-Fuster José J. Acevedo-Valles Eric Avilés-Rivera |
| author_sort | Diego H. González-Bravo |
| collection | DOAJ |
| description | Significant (moderate or severe) paravalvular leak (PVL) after transcatheter aortic valve replacement (TAVR) remains a common phenomenon and has been associated with decrease survival and quality of life. Transcatheter valve embolization and migration (TVEM) is a rare post-TAVR complication that can occur in 1% of cases and has been associated with worse patient outcomes. Valve embolization or migration into the left ventricle can result in significant PVL causing hemodynamic instability, shock, heart failure, and hemolytic anemia. Although this complication most commonly occurs in the acute setting (90%) within 4 hours of TAVR, it can also present late (4 hr-43 days later) in 10% of cases. There are no clear guidelines as to how this condition should be managed; however, several percutaneous bailout techniques exist that can ultimately spare the patient from emergent cardiovascular surgery. We present a rare case of late ventricular transcatheter aortic valve migration 3 days after TAVR causing severe PVL and heart failure symptoms that was successfully treated using the percutaneous “double snare” technique. |
| format | Article |
| id | doaj-art-1caff8aa022b448f8accb03b3b513073 |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-1caff8aa022b448f8accb03b3b5130732025-02-03T07:26:19ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/4458109Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” TechniqueDiego H. González-Bravo0Pedro Colón-Hernández1Melanie Quintana-Serrano2Sergio Alegre-Boschetti3Juan Vázquez-Fuster4José J. Acevedo-Valles5Eric Avilés-Rivera6Cardiovascular DivisionCardiovascular CenterCardiovascular DivisionCardiovascular DivisionCardiovascular DivisionCardiovascular DivisionCardiovascular DivisionSignificant (moderate or severe) paravalvular leak (PVL) after transcatheter aortic valve replacement (TAVR) remains a common phenomenon and has been associated with decrease survival and quality of life. Transcatheter valve embolization and migration (TVEM) is a rare post-TAVR complication that can occur in 1% of cases and has been associated with worse patient outcomes. Valve embolization or migration into the left ventricle can result in significant PVL causing hemodynamic instability, shock, heart failure, and hemolytic anemia. Although this complication most commonly occurs in the acute setting (90%) within 4 hours of TAVR, it can also present late (4 hr-43 days later) in 10% of cases. There are no clear guidelines as to how this condition should be managed; however, several percutaneous bailout techniques exist that can ultimately spare the patient from emergent cardiovascular surgery. We present a rare case of late ventricular transcatheter aortic valve migration 3 days after TAVR causing severe PVL and heart failure symptoms that was successfully treated using the percutaneous “double snare” technique.http://dx.doi.org/10.1155/2022/4458109 |
| spellingShingle | Diego H. González-Bravo Pedro Colón-Hernández Melanie Quintana-Serrano Sergio Alegre-Boschetti Juan Vázquez-Fuster José J. Acevedo-Valles Eric Avilés-Rivera Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique Case Reports in Cardiology |
| title | Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique |
| title_full | Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique |
| title_fullStr | Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique |
| title_full_unstemmed | Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique |
| title_short | Successful Treatment of Severe Paravalvular Leak by Repositioning a Self-Expandable Percutaneous Aortic Valve Bioprosthesis (Evolut PRO+) Using the “Double Snare” Technique |
| title_sort | successful treatment of severe paravalvular leak by repositioning a self expandable percutaneous aortic valve bioprosthesis evolut pro using the double snare technique |
| url | http://dx.doi.org/10.1155/2022/4458109 |
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