Tricuspid Valve-in-Valve Replacement and Aortic Paravalvular Leak Plugs
[...]. Tricuspid Valve-in-Valve Replacement and Aortic Paravalvular Leak Plugs. CTICases. Published December 20, 2019. https://str-case-explorer.pages.dev/c/rvz34
Imaging findings
CT chest and chest radiograph show an Edwards Sapien valve deployed in the tricuspid position (valve-in-valve). Vascular plugs are also seen deployed along the periphery of a prosthetic aortic valve to treat a paravalvular leak.
Key takeaways
Endovascular techniques allow for catheter-based treatment of valvular dysfunction. This includes the deployment of vascular plugs to seal paravalvular leaks, and transcatheter tricuspid valve-in-valve replacement for failed bioprostheses, avoiding open-heart surgery.
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