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Metallic MV Paravalvular Leak

  • Atooshe Rohani
Chapter
  • 223 Downloads
Part of the Clinical Cases in Cardiology book series (CCC)

Abstract

Paravalvular leak can lead to heart failure, infective endocarditis and hemolytic anemia. This is a 55 year-old man with a history of Mitral valve replacement (MVR) who developed dyspnea and hemolytic anemia. TTE and TEE demonstrated severe paravalvular leakage. (PVL)

Keywords

Paravalvular leak hemolytic anemia TTE 

Supplementary material

Movie 14.1

TEE 50 degree, 2 chamber view shows paravalvular (AVI 404 kb)

Movie 14.2

Area of Dehiscence of metallic valve clearly seen by 3d TEE 112 degree midesophageal view(red arrows) (AVI 456 kb)

References

  1. 1.
    Perk G, Kronzon I. Interventional echocardiography in structural heart disease. Curr Cardiol Rep. 2013;15(3):338.CrossRefGoogle Scholar
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    Kliger C, Eiros R, Isasti G, Einhorn B, Jelnin V, Cohen H, et al. Review of surgical prosthetic paravalvular leaks: diagnosis and catheter-based closure. Eur Heart J. 2013;34(9):638–49.CrossRefGoogle Scholar
  3. 3.
    Kronzon I, Sugeng L, Perk G, Hirsh D, Weinert L, Garcia Fernandez MA, Lang RM. Real-time-3-dimensional transesophageal echocardiography in the evaluation of post-operative mitral annuloplasty ring and prosthetic valve dehiscence. J Am Coll Cardiol. 2009;53(17):1543–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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