The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Severe calcified paravalvular leak: usefulness of intravascular lithotripsy technology

DOI: 10.4244/EIJ-D-20-00392

1. Unit of Cardiovascular Sciences, Department of Medicine, Campus Bio-Medico University of Rome, Italy
2. Unit of Cardiovascular Sciences, Department of Medicine, Campus Bio-Medico, University of Rome, Italy, Italy

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A 66-year-old female with heart failure was referred for a severe mitral regurgitation (MR) by a paravalvular-leak (PVL). She underwent four mitral-valve replacements (Sorin-Bicarbon-25), three PVL-percutaneous-closures, and transcatheter-aortic-valve-implantation (CoreValve-31mm-Medtronic-USA). Transesophageal-echocardiogram showed severe circumferential calcification of mitral-annulus and two PVLs: the first, in an anteromedial position, caused trivial regurgitation; the second one, in a posterolateral position, caused severe MR. We planned to close the posterolateral-PVL for its hemodynamic significance. 

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