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Valve-in-Valve-in-Ring: A Bailout Strategy to Tackle Paravalvular Leaks due to Device Malapposition
Alessandro Vairo1, Federico Conrotto1, Luca Franchin1
1Department of Medical Sciences, Division of Cardiology, AOU Città Della Salute e Della Scienza, University of Turin, Turin, Italy.
Abstract:
A 55-year-old male with a history of severe organic mitral regurgitation treated with surgical mitral valve (MV) repair was referred for a transcatheter MV replacement due to recurrent regurgitation. After the release of the first transcatheter MV, a severe paravalvular leak coming from the lateral side was observed. To promptly tackle this issue, a second valve with further postdilation was successfully implanted and the paravalvular leak disappeared. This case highlights the feasibility of implanting a second valve in case of severe paravalvular leaks after MV-in-ring procedures due to device malapposition.
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