Percutaneous closure of paravalvular leak in children after left ventricular outflow enlargement by the Konno procedure with aortic valve mechanical prosthesis

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Presentation transcript:

Percutaneous closure of paravalvular leak in children after left ventricular outflow enlargement by the Konno procedure with aortic valve mechanical prosthesis Lilia Oreto, MD, Fiore Salvatore Iorio, MD, Giacomo Pongiglione, MD, FACC, Paolo Guccione, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 5, Pages e61-e63 (May 2014) DOI: 10.1016/j.jtcvs.2014.01.047 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Aortography showing a large paravalvular leak close to the left coronary ostium (white arrow). B, A Tyshak mini balloon (Numed, Hopkinton, NY) was inflated through the leak. C, A patent ductus arteriosus occluder device was released through the leak. D, A smaller leak (white arrow) is visible close to the right coronary ostium. E, A 3/PDA5 coil (Cook Medical, Bloomington, Ind) was delivered through the leak. F, No residual paravalvular leak is evident, with only trivial intravalvular regurgitation. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e61-e63DOI: (10.1016/j.jtcvs.2014.01.047) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Right anterior paravalvular leak (white arrow). B, Through the leak a sizing balloon was inflated. C, An Amplatzer device (AGA Medical, Plymouth, Minn) closing the leak. D, The final aortography with no evident paravalvular leak. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e61-e63DOI: (10.1016/j.jtcvs.2014.01.047) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions