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Late Right Coronary Ostium Occlusion After Percutaneous Aortic Paravalvular Leak Closure: Immediate Results Do Not
Marco Hernández-Enríquez1, María Ascaso, Xavier Freixa
1Hospital Clínic, C/Villarroel, 170, Cardiology Department, 08036 Barcelona, Spain. mhernane@clinic.ub.es.
Abstract:
We present an 83-year-old woman with history of two aortic valve replacements; 2 years after the last replacement, she developed heart failure and severe paravalvular leak (PVL) was detected. Percutaneous PVL closure was completed with a single Amplatzer Vascular Plug III. Two months later, the patient presented with late coronary obstruction requiring emergent surgical revascularization. To the best of our knowledge, this is the first report of late coronary obstruction after percutaneous PVL closure.
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