Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Feb 2014
Case ReportsTranscatheter trans-apical closure of paravalvular mitral and aortic leaks using a new device: first in man experience.
This report describes the first use of a new paravalvular leak (PVL) device designed specifically to close paravalvular mitral and paravalvular aortic leaks. The first patient had severe paravalvular mitral leak that was closed using the transapical route with a rectangular designed PVL device that has an oval waist for self-centering and the second patient had moderate paravalvular aortic leak that was closed with a square designed device that has a round waist for self-centering. Both patients had complete closure.
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Catheter Cardiovasc Interv · Feb 2014
Observational StudyPercutaneous coronary intervention for acute coronary syndrome due to graft failure: use of bare-metal and drug-eluting stents and subsequent long-term clinical outcome.
To describe clinical outcome after percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) due to graft failure. ⋯ In patients presenting with ACS due to acute graft failure, long-term outcomes remain poor. In a nonrandomized comparison with BMS, DES use was not associated with significant improved long-term clinical outcomes.
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Catheter Cardiovasc Interv · Feb 2014
Case ReportsNew frontier for intracardiac devices: endobronchial occlusion of bronchopleural fistula with CERA device.
We report on a 57-year-old patient suffering from advanced squamous cell carcinoma of the left lung, ultimately submitted to intrapericardial left pneumonectomy with hilar and mediastinal lymphadenectomy. Imaging examination showed a left bronchopleural fistula that needed to be occluded. ⋯ The procedure was successful and the patient was discharge from the hospital 5 days thereafter. Endobronchial closure of bronchopleural fistulas with intracardiac devices is feasible and may become an excellent option for those very ill patients.
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Catheter Cardiovasc Interv · Feb 2014
Case ReportsTandemHeart placement for cardiogenic shock in acute severe mitral regurgitation and right ventricular failure.
We report a case of a patient with severe mitral regurgitation (MR) due to infective endocarditis with preserved left ventricular systolic function complicated by severe pulmonary hypertension, right ventricular (RV) dysfunction, and cardiogenic shock. He was evaluated by cardiothoracic surgery for mitral valve replacement (MVR). ⋯ A TandemHeart (TH) percutaneous ventricular assist device (pVAD) was placed with improvement in hemodynamics following which MVR was done. To our knowledge, this is the first report of the preoperative use of the TH pVAD in severe acute MR for hemodynamic stabilization in preparation for MVR.