EchoNavigator virtual marker and Agilis NxT steerable introducer facilitate transseptal transcatheter closure of mitral paravalvular leak

Paravalvular leak (PVL), also known as paravalvular prosthetic regurgitation, is not a rare complication after surgical valve replacement, and it may cause varying degrees of heart failure. The transcatheter closure of PVL is technically demanding and challenging. A 68-year-old man presented with de...

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Bibliographic Details
Published inWorld journal of clinical cases Vol. 10; no. 13; pp. 4236 - 4241
Main Authors Hsu, Jung-Cheng, Khoi, Chong-Sun, Huang, Shan-Hui, Chang, Yi-Yao, Chen, Shu-Lu, Wu, Yen-Wen
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 06.05.2022
Subjects
Case Report
Steerable introducer
Case report
Paravalvular prosthetic regurgitation
Paravalvular leak
EchoNavigator
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Summary:Paravalvular leak (PVL), also known as paravalvular prosthetic regurgitation, is not a rare complication after surgical valve replacement, and it may cause varying degrees of heart failure. The transcatheter closure of PVL is technically demanding and challenging. A 68-year-old man presented with degenerative mitral regurgitation with heart failure, New York Heart Association functional class 3. He received bioprosthetic mitral valve replacement in December 2019. PVL was noted at the location of the aorto-mitral curtain in transesophageal echocardiography without signs of endocarditis or dehiscence of the bioprosthetic valve. Transseptal transcatheter closure of the mitral PVL was performed efficiently using the EchoNavigator virtual marker and Agilis NxT steerable introducer. This case highlights that the EchoNavigator virtual marker and Agilis NxT steerable introducer can facilitate transseptal transcatheter closure of mitral PVL by reducing the procedure time and contrast media.
Bibliography:Corresponding author: Jung-Cheng Hsu, MD, Attending Doctor, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banqiao Dist., New Taipei City 220216, Taiwan. jungchenghsu@gmail.com
Author contributions: Hsu JC and Wu YW were the patient’s cardiologists, reviewed the literature and contributed to manuscript drafting; Khoi CS was the interventional echocardiographer who performed the transesophageal echocardiography during the procedure, and contributed to illustrations and manuscript drafting; Huang SH and Chang YY were also cardiologists who performed the follow-up transthoracic echocardiography for the patient and contributed to manuscript drafting. Cheng SL provided technical assistance during the procedure and contributed to the literature review; all authors issued final approval for the version to be submitted. No competing interests were disclosed by any author.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v10.i13.4236