PMID- 21183776
OWN - NLM
STAT- MEDLINE
DCOM- 20110412
LR  - 20161125
IS  - 1557-2501 (Electronic)
IS  - 1042-3931 (Linking)
VI  - 23
IP  - 1
DP  - 2011 Jan
TI  - Closure of aortic paravalvular leak under intravascular ultrasound and 
      intracardiac echocardiography guidance.
PG  - E250-4
AB  - Aortic paravalvular leaks after aortic valve replacement surgery - though not 
      uncommon as an incidental finding - may become clinically significant in up to 5% 
      of patients. Open surgical correction by either direct suturing or patching of 
      the defect or reoperative valve replacement is associated with significant 
      morbidity and mortality. Relatively few case reports are available in the 
      literature addressing percutaneous closure of aortic paravalvular leaks. We 
      describe the novel use of intracardiac echocardiography and intravascular 
      ultrasound to guide closure strategy selection and subsequent deployment of an 
      Amplatzer duct occluder device. The patient experienced immediate subjective and 
      hemodynamic improvement accompanied by rapid resolution of heart failure symptoms 
      from New York Heart Association (NYHA) class IV to NYHA class II. This marked 
      clinical improvement has been sustained at 9 months to date and 4-month follow-up 
      echocardiography confirmed complete resolution of aortic regurgitation as the 
      mechanism behind this improvement.
FAU - Sharma, Madan
AU  - Sharma M
AD  - Department of Medicine, Division of Cardiology, University of California San 
      Francisco, San Francisco, California, USA.
FAU - Tseng, Elaine
AU  - Tseng E
FAU - Schiller, Nelson
AU  - Schiller N
FAU - Moore, Phillip
AU  - Moore P
FAU - Shunk, Kendrick A
AU  - Shunk KA
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J Invasive Cardiol
JT  - The Journal of invasive cardiology
JID - 8917477
SB  - IM
MH  - Aged, 80 and over
MH  - Aortic Valve Insufficiency/complications/diagnostic imaging
MH  - Bioprosthesis
MH  - Catheterization
MH  - Coronary Angiography
MH  - Echocardiography, Transesophageal
MH  - Endoleak/*diagnostic imaging/*surgery
MH  - Heart Failure/etiology/therapy
MH  - Heart Valve Prosthesis Implantation/*adverse effects
MH  - Humans
MH  - Male
MH  - Prosthesis Implantation/*methods
MH  - *Septal Occluder Device
MH  - *Ultrasonography, Interventional
EDAT- 2010/12/25 06:00
MHDA- 2011/04/13 06:00
CRDT- 2010/12/25 06:00
PHST- 2010/12/25 06:00 [entrez]
PHST- 2010/12/25 06:00 [pubmed]
PHST- 2011/04/13 06:00 [medline]
PST - ppublish
SO  - J Invasive Cardiol. 2011 Jan;23(1):E250-4.