Jung-Cheng Hsu, MD, Attending Doctor, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banqiao Dist., New Taipei City 220216, Taiwan. jungchenghsu@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jung-Cheng Hsu, Shan-Hui Huang, Yi-Yao Chang, Shu-Lu Chen, Yen-Wen Wu, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan
Jung-Cheng Hsu, General Education Center, Lunghwa University of Science and Technology, Taoyuan City 333026, Taiwan
Chong-Sun Khoi, Department of Anesthesiology, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan
Author contributions: Hsu JC and Wu YW were the patient’s cardiologists, reviewed the literature and contributed to manuscript drafting; Khoi CS was the interventional echocardiographer who performed the transesophageal echocardiography during the procedure, and contributed to illustrations and manuscript drafting; Huang SH and Chang YY were also cardiologists who performed the follow-up transthoracic echocardiography for the patient and contributed to manuscript drafting. Cheng SL provided technical assistance during the procedure and contributed to the literature review; all authors issued final approval for the version to be submitted. No competing interests were disclosed by any author.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jung-Cheng Hsu, MD, Attending Doctor, Division of Cardiology, Department of Medicine, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd., Banqiao Dist., New Taipei City 220216, Taiwan. jungchenghsu@gmail.com
Received: October 5, 2021 Peer-review started: October 5, 2021 First decision: January 11, 2022 Revised: January 20, 2022 Accepted: March 16, 2022 Article in press: March 16, 2022 Published online: May 6, 2022 Processing time: 206 Days and 14.4 Hours
Abstract
BACKGROUND
Paravalvular leak (PVL), also known as paravalvular prosthetic regurgitation, is not a rare complication after surgical valve replacement, and it may cause varying degrees of heart failure. The transcatheter closure of PVL is technically demanding and challenging.
CASE SUMMARY
A 68-year-old man presented with degenerative mitral regurgitation with heart failure, New York Heart Association functional class 3. He received bioprosthetic mitral valve replacement in December 2019. PVL was noted at the location of the aorto-mitral curtain in transesophageal echocardiography without signs of endocarditis or dehiscence of the bioprosthetic valve. Transseptal transcatheter closure of the mitral PVL was performed efficiently using the EchoNavigator virtual marker and Agilis NxT steerable introducer.
CONCLUSION
This case highlights that the EchoNavigator virtual marker and Agilis NxT steerable introducer can facilitate transseptal transcatheter closure of mitral PVL by reducing the procedure time and contrast media.
Core Tip: The transcatheter closure of paravalvular leak (PVL) is technically demanding and can be time consuming. Transseptal transcatheter closure of mitral PVL can be performed efficiently using the EchoNavigator virtual marker (fusion imaging) and Agilis NxT steerable introducer.
