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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

Corresponding Author:[email protected]

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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.
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