Mitral valve replacement complicated by iatrogenic left ventricular outflow obstruction and paravalvular leak: Case report and review of literature

Justin Z. Lee, Kai R. Tey, Ahmad Mizyed, Charles T. Hennemeyer, Rajesh Janardhanan, Kapildeo Lotun

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Background: Left ventricular outflow tract (LVOT) obstruction and paravalvular leak (PVL) are relatively uncommon, but are serious complications of prosthetic valve replacement. Case presentation: We present a case that displays the unique therapeutic challenges of treating a patient who developed both LVOT obstruction and mitral PVL after undergoing surgical aortic and mitral valve replacement (MVR). We also describe the use of alcohol septal ablation and albumin-glutaraldehyde (BioGlue) for septal ablation to percutaneously treat the patient's LVOT obstruction, followed by use of an Amplatzer vascular plug for percutaneous closure of an antero-medial mitral PVL associated with severe regurgitation. Conclusion: Percutaneous interventional management of these entities may be considered as an initial therapeutic option, especially in high-risk patients with significant morbidity and mortality of repeat surgical operations.

Original languageEnglish (US)
Article number119
JournalBMC Cardiovascular Disorders
Volume15
Issue number1
DOIs
StatePublished - Oct 9 2015

Keywords

  • Left ventricular outflow tract obstruction
  • Paravalvular leak
  • Septal ablation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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