4 results match your criteria: "IRCCS University School of Milan[Affiliation]"
Percutaneous Closure of Paravalvular Regurgitation After Third-Generation Transcatheter Aortic Valve Replacement.
Int Heart J
November 2021
Department of Cardiology, Invasice Cardiology and Intensive Care Unit, Clinica Montevergine di Mercogliano (Av).
Significant paravalvular leak regurgitation (PVLR) after transcatheter aortic valve replacement (TAVR) is a well-known complication associated with disabling symptoms related to heart failure and hemolysis or both, with poor prognostic implications. Although challenging and technically demanding, percutaneous closure is an effective treatment option for high-risk patients with symptomatic PVLR. Here, we present two cases of transcatheter PVLR closure after replacement of third-generation (one self-expandable and one balloon-expandable) transcatheter aortic valves, each with peculiar challenges, and the strategies adopted to increase the success rate of percutaneous closure.
View Article and Find Full Text PDFEchoNavigator technology facilitates transapical mitral paravalvular leak closure: a case report.
Eur Heart J Case Rep
June 2021
Bashkir State Medical University, Scientific Center of the Russian Academy of Science, Ufa, Russia.
Background: Catheter-based closure has emerged as a less invasive alternative to surgery in high-risk patients with paravalvular leak (PVL) and clinically significant regurgitation with feasibility and efficacy demonstrated in multiple studies.
Case Summary: A 72-year-old female with a past history of long-standing rheumatic heart disease underwent mechanical mitral valve replacement in 2008. Ten years later, redo surgery was performed due to a worsening mitral PVL and the leakage was closed by direct pledget-supported sutures, preserving the mechanical valve.
Transcatheter Closure of Secundum Atrial Septal Defect with Large Multifenestrated Septum Primum Aneurysm and Double Atrial Septum: A Challenging Transesophageal Echocardiography-Guided Procedure.
CASE (Phila)
June 2021
UOC Cardiologia, Ospedale di Bassano del Grappa, Azienda Sanitaria ULSS 7, Pedemontana, Bassano del Grappa, Italy.
Article Synopsis
- - The condition described is a
- rare heart defect known as Secundum ASD, which involves a large, multi-hole atrial septal aneurysm (ASA) and a double atrial septum.
- - Effective treatment for this type of defect relies heavily on advanced and innovative device technologies.
- - Such technology plays a crucial role in successfully closing these complex septal defect variations.
Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report.
Eur Heart J Case Rep
February 2021
Invasive Cardiology Unit, Centro Cardiologico Monzino, IRCCS University School of Milan, Italy.
Background: Transcatheter approach for large and complex atrial septal defects may represent a therapeutic challenge, particularly when the postero-inferior rim is deficient and floppy.
Case Summary: Here, we describe a successful catheter-based closure of a large (>30 mm) secundum atrial septal defect associated with postero-inferior rim deficiency in a 35-year-old female with congestive heart failure using pulmonary vein slide-out assisted implantation technique.
Discussion: Inferior-posterior rim deficiency is a well-known risk factor for device instability or embolization.