Intraoperative paravalvular leakage after sutureless aortic valve replacement corrected with secondary balloon dilatation: A case report
Anesthesia and Pain Medicine
; : 186-189, 2016.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-52557
Biblioteca responsable:
WPRO
ABSTRACT
Sutureless aortic valve replacement was performed in a 72-year-old female patient with severe aortic stenosis who had undergone coronary revascularization and pacemaker implantation. After valve excision, decalcification was deliberately incompletely performed at the commissure of the left- and non-coronary cusp to obtain a regular and circular annular margin. After implantation of the stented valve, no paravalvular leakage was noted on water irrigation testing. Upon weaning from cardiopulmonary bypass, a moderate degree of paravalvular leakage was observed by transesophageal echocardiography at the junction of the left- and non-coronary cusp. Instead of removing the valve and performing more complete decalcification to implant a larger valve, secondary balloon dilatation and warm sterile water irrigation were performed to allow further expansion and fixing of the metal alloy stent around the aortic wall to minimize the duration of aortic cross-clamp. No paravalvular leakage was observed thereafter and the patient was discharged without any complications.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Válvula Aórtica
/
Estenosis de la Válvula Aórtica
/
Destete
/
Agua
/
Puente Cardiopulmonar
/
Stents
/
Ecocardiografía Transesofágica
/
Dilatación
/
Aleaciones
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Anesthesia and Pain Medicine
Año:
2016
Tipo del documento:
Artículo