Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance

Joanna Kirsch; Tomasz Witkowski; Marcin Protasiewicz; Piotr Brzozowski; Krzysztof Reczuch; Wiktor Kuliczkowski

doi:10.5114/aic.2021.109236

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Image in intervention

Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance

Joanna M. Kirsch

¹

,

Tomasz Witkowski

²

,

Marcin Protasiewicz

²

,

Piotr Brzozowski

¹

,

Krzysztof Reczuch

³

,

Wiktor Kuliczkowski

²

Doctor Intern, Wroclaw University Hospital, Wroclaw, Poland

Department of Cardiology, Wroclaw Medical University, Wroclaw, Poland

Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland

Adv Interv Cardiol 2021; 17, 3 (65): 317–318

DOI: https://doi.org/10.5114/aic.2021.109236

Online publish date: 2021/09/20

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AMA

Kirsch JM, Witkowski T, Protasiewicz M, Brzozowski P, Reczuch K, Kuliczkowski W. Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(3):317-318. doi:10.5114/aic.2021.109236.

APA

Kirsch, J. M., Witkowski, T., Protasiewicz, M., Brzozowski, P., Reczuch, K.,  & Kuliczkowski, W. (2021). Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(3), 317-318. https://doi.org/10.5114/aic.2021.109236

Chicago

Kirsch, Joanna M, Tomasz Witkowski, Marcin Protasiewicz, Piotr Brzozowski, Krzysztof Reczuch,  and Wiktor Kuliczkowski. 2021. "Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 17 (3): 317-318. doi:10.5114/aic.2021.109236.

Harvard

Kirsch, J., Witkowski, T., Protasiewicz, M., Brzozowski, P., Reczuch, K.,  and Kuliczkowski, W. (2021). Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(3), pp.317-318. https://doi.org/10.5114/aic.2021.109236

MLA

Kirsch, Joanna et al. "Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 17, no. 3, 2021, pp. 317-318. doi:10.5114/aic.2021.109236.

Vancouver

Kirsch J, Witkowski T, Protasiewicz M, Brzozowski P, Reczuch K, Kuliczkowski W. Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(3):317-318. doi:10.5114/aic.2021.109236.

We present a case of a 67-year-old woman who was admitted to the hospital due to suspicion of a paravalvular leak around the artificial aortic valve. The patient had undergone the procedure of simultaneous implantation of aortic and mitral mechanical valves 8 years before the current problem: in both the aortic and the mitral position. Carbomedics valves were implanted in order to treat native valve stenosis. The patient complained of dyspnea, reduced physical exercise tolerance and atypical chest pain for 7 months. Transthoracic echocardiography revealed good function of the artificial valves with normal left ventricle ejection fraction, whereas transesophageal echocardiography (TEE) showed leakage (a fistula) in the anterior part of the aortic ring in the direction towards the left atrium.

Percutaneous closure of paravalvular leak (fistula) between aorta and left atrium using echocardiographic guidance

Joanna M. Kirsch 1 , Tomasz Witkowski 2 , Marcin Protasiewicz 2 , Piotr Brzozowski 1 , Krzysztof Reczuch 3 , Wiktor Kuliczkowski 2

Joanna M. Kirsch

¹

,

Tomasz Witkowski

²

,

Marcin Protasiewicz

²

,

Piotr Brzozowski

¹

,

Krzysztof Reczuch

³

,

Wiktor Kuliczkowski

²