Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography.
Publication
, Journal Article
Kiefer, TL; Vavalle, J; Hurwitz, LM; Hughes, GC; Harrison, JK
Published in: Cardiovasc Interv Ther
January 2017
A 76-year-old woman presented with progressive heart failure and transfusion-dependent hemolytic anemia due to severe paravalvular aortic regurgitation 4 years after bioprosthetic aortic valve replacement. She was deemed not to be a candidate for redo cardiac surgery due to a porcelain aorta and multiple comorbid medical conditions. We describe the role of pre-procedure contrast-enhanced, ECG-gated computed tomographic angiography to characterize the anatomy of the paravalvular leak connection for appropriate occluder device selection leading to successful percutaneous closure and resolution of the paravalvular regurgitation and hemolytic anemia.
Duke Scholars
Published In
Cardiovasc Interv Ther
DOI
EISSN
1868-4297
Publication Date
January 2017
Volume
32
Issue
1
Start / End Page
48 / 52
Location
Japan
Related Subject Headings
- Septal Occluder Device
- Humans
- Hemolysis
- Heart Valve Prosthesis
- Female
- Echocardiography, Transesophageal
- Computed Tomography Angiography
- Cardiac Catheterization
- Aortic Valve Insufficiency
- Aortic Valve
Citation
APA
Chicago
ICMJE
MLA
NLM
Kiefer, T. L., Vavalle, J., Hurwitz, L. M., Hughes, G. C., & Harrison, J. K. (2017). Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography. Cardiovasc Interv Ther, 32(1), 48–52. https://doi.org/10.1007/s12928-015-0363-z
Kiefer, Todd L., John Vavalle, Lynne M. Hurwitz, G Chad Hughes, and J Kevin Harrison. “Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography.” Cardiovasc Interv Ther 32, no. 1 (January 2017): 48–52. https://doi.org/10.1007/s12928-015-0363-z.
Kiefer TL, Vavalle J, Hurwitz LM, Hughes GC, Harrison JK. Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography. Cardiovasc Interv Ther. 2017 Jan;32(1):48–52.
Kiefer, Todd L., et al. “Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography.” Cardiovasc Interv Ther, vol. 32, no. 1, Jan. 2017, pp. 48–52. Pubmed, doi:10.1007/s12928-015-0363-z.
Kiefer TL, Vavalle J, Hurwitz LM, Hughes GC, Harrison JK. Resolution of severe hemolysis and paravalvular aortic regurgitation employing an Amplatzer Vascular Plug 4: the importance of detailed pre-procedural planning using CT angiography. Cardiovasc Interv Ther. 2017 Jan;32(1):48–52.
Published In
Cardiovasc Interv Ther
DOI
EISSN
1868-4297
Publication Date
January 2017
Volume
32
Issue
1
Start / End Page
48 / 52
Location
Japan
Related Subject Headings
- Septal Occluder Device
- Humans
- Hemolysis
- Heart Valve Prosthesis
- Female
- Echocardiography, Transesophageal
- Computed Tomography Angiography
- Cardiac Catheterization
- Aortic Valve Insufficiency
- Aortic Valve