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Surgery for delayed leaflet impingement after transcatheter closure of a paravalvular leak associated with an aortic pseudoaneurysm
  • +1
  • Antonio Fiore,
  • Mariantonietta Piscitelli,
  • Thierry Folliguet,
  • Romain Gallet
Antonio Fiore
Hopitaux Universitaires Henri Mondor
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Mariantonietta Piscitelli
Hopitaux Universitaires Henri Mondor
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Thierry Folliguet
Hopitaux Universitaires Henri Mondor
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Romain Gallet
Hopitaux Universitaires Henri Mondor
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Abstract

Paravalvular leak (PVL) is a recognized and challenging complication after surgical or transcatheter valve replacement. The transcatheter closure of PVL has become the first-line treatment in clinical practice when the procedure is not contraindicated. Transcatheter PVL closure rests a complex procedure and complications still occur in approximately 9% of patients. We describe the case of a delayed mechanical prosthetic leaflet impingement after transcatheter closure of a paravalvular leak associated with a Valsalva pseudoaneurysm that required an urgent surgery. The transcatheter closure of PVL does not preclude subsequent attempt to surgical repair and outcome.