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Percutaneous Hybrid Approach for an Aortic Paravalvular Leak Associated With a Large Pseudoaneurysm
Craig Basman1, Perry Wengrofsky1, Vladimir Jelnin1
1Hackensack University Medical Center, Hackensack, New Jersey, USA.
JACC. Case Reports
|April 6, 2026
Summary
Treating complex paravalvular leaks (PVL) with pseudoaneurysms requires a dual-entry closure approach. This hybrid technique, addressing both aortic and left ventricular outflow tract entry sites, is essential for effective PVL reduction and preventing further aneurysmal expansion.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Complex paravalvular leaks (PVL) present significant challenges for percutaneous closure.
- Post-surgical changes following infective endocarditis can lead to PVL and associated tissue weakening.
- Aneurysmal growth can complicate PVL tracts, increasing treatment complexity.
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