Author/Authors :
Tzimas, Georgios Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Eeckhout, Eric Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Antiochos, Panagiotis Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Roguelov, Christan Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Fournier, Stephane Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Harbaoui, Brahim Department of Cardiology - Hospices civils de Lyon, Lyon, France , Monney, Pierre Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland , Muller, Olivier Department of Cardiology - University Hospital of Lausanne (CHUV), Lausanne, Switzerland
Abstract :
In an era where transcatheter aortic valve implantation (TAVI) indications and utilization are expanding beyond high-risk patients,
paravalvular leak remains the intervention’s Achilles heel. Effective reduction of paravalvular leak is important in order to ensure an
optimal clinical outcome. We present here the first case report in which percutaneous valvular closure using Amplatzer plugs
followed by a TAV-in-TAV intervention during the same procedure managed to resolve a severe paravalvular leak with
haemodynamic instability, after TAVI for a bicuspid aortic stenosis.
