Abstract
Background: Left ventricular outflow tract (LVOT) obstruction and paravalvular leak (PVL) are relatively uncommon, but are serious complications of prosthetic valve replacement. Case presentation: We present a case that displays the unique therapeutic challenges of treating a patient who developed both LVOT obstruction and mitral PVL after undergoing surgical aortic and mitral valve replacement (MVR). We also describe the use of alcohol septal ablation and albumin-glutaraldehyde (BioGlue) for septal ablation to percutaneously treat the patient's LVOT obstruction, followed by use of an Amplatzer vascular plug for percutaneous closure of an antero-medial mitral PVL associated with severe regurgitation. Conclusion: Percutaneous interventional management of these entities may be considered as an initial therapeutic option, especially in high-risk patients with significant morbidity and mortality of repeat surgical operations.
Original language | English (US) |
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Article number | 119 |
Journal | BMC Cardiovascular Disorders |
Volume | 15 |
Issue number | 1 |
DOIs | |
State | Published - Oct 9 2015 |
Keywords
- Left ventricular outflow tract obstruction
- Paravalvular leak
- Septal ablation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine