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Diagnosis and Treatment of Left-Sided Prosthetic Paravalvular Regurgitation
Konstantinos Lampropoulos1, Constantina Aggeli, Aikaterini Megalou
1Catheterization Laboratory, Department of Cardiology, Evaggelismos General Hospital of Athens, Athens, Greece.
Abstract:
Paravalvular leak (PVL) is a complication related to the surgical implantation of left-sided prosthetic valves. The prevalence of paravalvular regurgitation ranges between 5 and 20%. Left-sided prosthetic paravalvular regurgitation presents with a wide constellation of signs and symptoms ranging from asymptomatic murmur to heart failure, hemolysis and cardiac cachexia. Echocardiography plays a key role in imaging the PVL and can help in guiding the closure procedure with both transesophageal and intracardiac probes. Transcatheter closure of paravalvular regurgitations is an appealing prospect.
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