Aortic Valve Replacement for Paraprosthetic Leak After Transcatheter Implantation

• Published in: Journal of cardiac surgery Vol. 27; no. 1; pp. 47 - 51
• Main Authors: Raffa, Giuseppe M., Malvindi, Pietro Giorgio, Settepani, Fabrizio, Ornaghi, Diego, Basciu, Alessio, Cappai, Antioco, Tarelli, Giuseppe
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01.01.2012
• Subjects: Aged; Aortic Valve Insufficiency - etiology; Aortic Valve Insufficiency - surgery; Aortic Valve Stenosis - surgery; Endovascular Procedures; Heart Valve Prosthesis Implantation - methods; Humans; Male; Postoperative Complications - surgery; Reoperation; Thoracotomy
• ISSN: 0886-0440; 1540-8191
• DOI: 10.1111/j.1540-8191.2011.01351.x

Conversion to surgical aortic valve replacement (AVR) has been described as a complication following transcatheter aortic valve implantation. This complication occurs in up to 8% of cases and, to the best of our knowledge, preoperative data and surgical outcomes of such patients have not been properly evaluated. Mild paraprosthetic regurgitation is commonly observed after transcatheter aortic valve implantation and usually leads to a benign clinical course. Unequal distribution of valve calcifications is described as a potential mechanism. We report a case of a perioperative paraprosthetic regurgitation that underwent successful urgent surgical AVR and review the incidence and results of paraprosthetic leaks following transcatheter implantation. (J Card Surg 2012;27:47–51)