Percutaneous closure of tricuspid paravalvular leak without contrast for a patient with renal insufficiency

Percutaneous closure of tricuspid paravalvular leak without contrast for a patient with renal... Percutaneous endovascular devices have been used to close aorto‐pulmonary fistulas, aorto‐atrial fistulas, left ventricular pseudoaneurysms, and prosthetic valvular leaks (PVL). We present images of a percutaneous closure of a PVL from a bioprosthetic tricuspid valve in a patient with renal insufficiency without contrast.A 76‐year‐old female presented with atrial fibrillation, renal insufficiency, and progressive right heart failure, 12 years following 21‐mm aortic, 25‐mm mitral, and 31‐mm tricuspid valve replacements with Hancock bioprosthetic valves (Medtronic, Minneapolis, MN) for rheumatic heart disease. A transthoracic echocardiogram revealed a tricuspid bioprosthetic PVL near the ventricular septum measuring 4 × 7 mm with an estimated regurgitant volume of 24 mL (Figures A and B). The right ventricular ejection fraction was 37% and the pulmonary artery pressure was 72/26 mmHg. In view of her symptoms of right heart failure, severe renal insufficiency, and increased operative risk, the patient underwent percutaneous closure of the PVL without contrast medium.Pre‐procedure transthoracic echocardiogram. (A) Sizing the PVL. (B) Measuring the regurgitation over PVL. The white arrow indicates the PVL, while the colorful area indicates the regurgitation over the PVL. PVL, prosthetic valvular leakThe procedure was performed in the cath lab under local anesthesia. The baseline central venous pressure (CVP) was 34 mmHg. Transthoracic echocardiography and fluoroscopy http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiac Surgery Wiley

Percutaneous closure of tricuspid paravalvular leak without contrast for a patient with renal insufficiency

Loading next page...
 
/lp/wiley/percutaneous-closure-of-tricuspid-paravalvular-leak-without-contrast-4afv021MEZ
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0886-0440
eISSN
1540-8191
D.O.I.
10.1111/jocs.13520
Publisher site
See Article on Publisher Site

Abstract

Percutaneous endovascular devices have been used to close aorto‐pulmonary fistulas, aorto‐atrial fistulas, left ventricular pseudoaneurysms, and prosthetic valvular leaks (PVL). We present images of a percutaneous closure of a PVL from a bioprosthetic tricuspid valve in a patient with renal insufficiency without contrast.A 76‐year‐old female presented with atrial fibrillation, renal insufficiency, and progressive right heart failure, 12 years following 21‐mm aortic, 25‐mm mitral, and 31‐mm tricuspid valve replacements with Hancock bioprosthetic valves (Medtronic, Minneapolis, MN) for rheumatic heart disease. A transthoracic echocardiogram revealed a tricuspid bioprosthetic PVL near the ventricular septum measuring 4 × 7 mm with an estimated regurgitant volume of 24 mL (Figures A and B). The right ventricular ejection fraction was 37% and the pulmonary artery pressure was 72/26 mmHg. In view of her symptoms of right heart failure, severe renal insufficiency, and increased operative risk, the patient underwent percutaneous closure of the PVL without contrast medium.Pre‐procedure transthoracic echocardiogram. (A) Sizing the PVL. (B) Measuring the regurgitation over PVL. The white arrow indicates the PVL, while the colorful area indicates the regurgitation over the PVL. PVL, prosthetic valvular leakThe procedure was performed in the cath lab under local anesthesia. The baseline central venous pressure (CVP) was 34 mmHg. Transthoracic echocardiography and fluoroscopy

Journal

Journal of Cardiac SurgeryWiley

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off