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

Persistent Link:
http://hdl.handle.net/10150/610274
Title:
Mitral valve replacement complicated by iatrogenic left ventricular outflow obstruction and paravalvular leak: case report and review of literature
Author:
Lee, Justin Z.; Tey, Kai R.; Mizyed, Ahmad; Hennemeyer, Charles T.; Janardhanan, Rajesh; Lotun, Kapildeo
Affiliation:
Department of Internal Medicine, University of Arizona; Department of Cardiovascular Diseases, University of Arizona; Department of Radiology, University of Arizona
Issue Date:
2015
Publisher:
BioMed Central Ltd
Citation:
Lee et al. BMC Cardiovascular Disorders (2015) 15:119 DOI 10.1186/s12872-015-0108-z
Journal:
BMC Cardiovascular Disorders
Rights:
© 2015 Lee et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
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.
EISSN:
1471-2261
DOI:
10.1186/s12872-015-0108-z
Keywords:
Left ventricular outflow tract obstruction; Paravalvular leak; Septal ablation
Version:
Final published version
Additional Links:
http://www.biomedcentral.com/1471-2261/15/119

Full metadata record

DC FieldValue Language
dc.contributor.authorLee, Justin Z.en
dc.contributor.authorTey, Kai R.en
dc.contributor.authorMizyed, Ahmaden
dc.contributor.authorHennemeyer, Charles T.en
dc.contributor.authorJanardhanan, Rajeshen
dc.contributor.authorLotun, Kapildeoen
dc.date.accessioned2016-05-20T09:02:51Z-
dc.date.available2016-05-20T09:02:51Z-
dc.date.issued2015en
dc.identifier.citationLee et al. BMC Cardiovascular Disorders (2015) 15:119 DOI 10.1186/s12872-015-0108-zen
dc.identifier.doi10.1186/s12872-015-0108-zen
dc.identifier.urihttp://hdl.handle.net/10150/610274-
dc.description.abstractBACKGROUND: 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.en
dc.language.isoenen
dc.publisherBioMed Central Ltden
dc.relation.urlhttp://www.biomedcentral.com/1471-2261/15/119en
dc.rights© 2015 Lee et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)en
dc.subjectLeft ventricular outflow tract obstructionen
dc.subjectParavalvular leaken
dc.subjectSeptal ablationen
dc.titleMitral valve replacement complicated by iatrogenic left ventricular outflow obstruction and paravalvular leak: case report and review of literatureen
dc.typeArticleen
dc.identifier.eissn1471-2261en
dc.contributor.departmentDepartment of Internal Medicine, University of Arizonaen
dc.contributor.departmentDepartment of Cardiovascular Diseases, University of Arizonaen
dc.contributor.departmentDepartment of Radiology, University of Arizonaen
dc.identifier.journalBMC Cardiovascular Disordersen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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