eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
3/2021
vol. 17
 
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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

1.
Doctor Intern, Wroclaw University Hospital, Wroclaw, Poland
2.
Department of Cardiology, Wroclaw Medical University, Wroclaw, Poland
3.
Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 3 (65): 317–318
Online publish date: 2021/09/20
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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.
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