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Attempt at Off-Label Balloon Valvuloplasty Post-Dilation for Intuity Sutureless Valve
  • +2
  • Javier Mejia,
  • Shinobu Itagaki,
  • Katherine Phillips,
  • Ahmed El-Eshmawi,
  • Allan Stewart
Javier Mejia
Icahn School of Medicine at Mount Sinai
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Shinobu Itagaki
Icahn School of Medicine at Mount Sinai
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Katherine Phillips
Icahn School of Medicine at Mount Sinai
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Ahmed El-Eshmawi
Icahn School of Medicine at Mount Sinai
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Allan Stewart
HCA East Florida Division
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Abstract

Alternatives to traditional aortic valve replacement now form part of the valve surgeon's armamentarium. Sutureless valves offer decreased bypass and crossclamp times, excellent maneuverability, and promising outcomes. We present a case of a sutureless aortic valve replacement for a late failed David procedure, complicated by post-operative development of severe paravalvular regurgitation. We attempted off-label balloon post-dilation to improve expansion of the valve, however paravalvular regurgitation persisted. The patient underwent subsequent aortic valve replacement using a mechanical valve and experienced no further paravalvular leak.

Peer review status:Published

06 May 2020Submitted to Journal of Cardiac Surgery
12 May 2020Assigned to Editor
12 May 2020Submission Checks Completed
23 May 2020Review(s) Completed, Editorial Evaluation Pending
23 May 2020Editorial Decision: Accept
15 Jul 2020Published in Journal of Cardiac Surgery. 10.1111/jocs.14803