Surgical Bailout Therapy after Implantation of a Medtronic CoreValve BioprosthesisReport as inadecuate




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Case Reports in CardiologyVolume 2012 2012, Article ID 387103, 4 pages

Case Report

Cardiology Department, Santa Cruz Hospital, Lisbon, Portugal

Cardiac Surgery Department, Santa Cruz Hospital, Lisbon, Portugal

Received 14 April 2012; Accepted 12 July 2012

Academic Editors: S. Al-Jureidini, G. Devlin, and H. Kataoka

Copyright © 2012 Rita Calé et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Moderate-to-severe paraprosthesic leak causing hemodynamic deterioration and left ventricular remodeling can occur after transcatheter aortic valve implantation TAVI. We present the case of a 75-year-old woman who underwent TAVI with a 26 mm CoreValve prosthesis complicated with an acute left ventricle dilatation due to a severe paravalvular leak. Patient was unresponsive to elective balloon post-dilatation, and therefore she was successfully treated with open-heart surgery to remove the malfunctioning CoreValve bioprosthesis and perform standard aortic valve replacement.





Author: Rita Calé, José Neves, Rui Teles, João Brito, Miguel Abecasis, Manuel Almeida, Tiago Nolasco, and Miguel Mendes

Source: https://www.hindawi.com/



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