Tarek Helmy1, Sundeep Kumar2, Abdul A Khan3, Ali Raza2, Steven Smart2, Steven R Bailey3. 1. Division of Cardiovascular Medicine, Louisiana State University School of Medicine, Shreveport, LA, USA. tarek.helmy@lsuhs.edu. 2. Division of Cardiovascular Medicine, Saint Louis University School of Medicine, Saint Louis, MO, USA. 3. Division of Cardiovascular Medicine, Louisiana State University School of Medicine, Shreveport, LA, USA.
Abstract
PURPOSE OF REVIEW: Paravalvular leak (PVL) is a relatively uncommon complication associated with prosthetic valve implantation. PVL can occasionally lead to serious adverse consequences such as congestive heart failure, infective endocarditis, and hemolytic anemia. Surgical re-operation carries a high mortality risk. RECENT FINDINGS: Transcatheter closure therapy provides a viable alternative for the treatment of this disorder with reasonable procedural and clinical success. The recent advent of hybrid imaging modalities has increased procedural success. This article summarizes the pathophysiology, clinical characteristics, and treatment modalities surroundings prosthetic paravalvular leak.
PURPOSE OF REVIEW: Paravalvular leak (PVL) is a relatively uncommon complication associated with prosthetic valve implantation. PVL can occasionally lead to serious adverse consequences such as congestive heart failure, infective endocarditis, and hemolytic anemia. Surgical re-operation carries a high mortality risk. RECENT FINDINGS: Transcatheter closure therapy provides a viable alternative for the treatment of this disorder with reasonable procedural and clinical success. The recent advent of hybrid imaging modalities has increased procedural success. This article summarizes the pathophysiology, clinical characteristics, and treatment modalities surroundings prosthetic paravalvular leak.
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