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Review of Prosthetic Paravalvular Leaks: Diagnosis and Management

  • Interventional Cardiology (SR Bailey and T Helmy, Section Editors)
  • Published:
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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.

Summary

This article summarizes the pathophysiology, clinical characteristics, and treatment modalities surroundings prosthetic paravalvular leak.

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Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Authors and Affiliations

  1. Division of Cardiovascular Medicine, Louisiana State University School of Medicine, Shreveport, LA, USA

    Tarek Helmy, Abdul A. Khan & Steven R. Bailey

  2. Division of Cardiovascular Medicine, Saint Louis University School of Medicine, Saint Louis, MO, USA

    Sundeep Kumar, Ali Raza & Steven Smart

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  1. Tarek Helmy
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  2. Sundeep Kumar
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Correspondence to Tarek Helmy.

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Conflict of Interest

Dr. Helmy reports being a co-chair of ACC Middle East and stock or stock options for Intent Solutions and Innovasc. The other authors report no financial relationships or conflicts of interest regarding the content herein.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Helmy, T., Kumar, S., Khan, A.A. et al. Review of Prosthetic Paravalvular Leaks: Diagnosis and Management. Curr Cardiol Rep 24, 1287–1297 (2022). https://doi.org/10.1007/s11886-022-01744-y

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