Pulmonary and Critical Care Medicine at Notre Dame de Secours, Jbeil, Lebanon Holy Spirit University, Kaslik, Lebanon
Case Report
Paravalvular Leaks with Iatrogenic Ventricular Septal Defect in a Patient with Double Valve Replacement: A Case Report
Author(s): Tabbah R*, Rachoin R, Sawaya F, Harb B and Saroufim K
Background: Para-prosthetic leaks post valvular replacement is a relatively rare complication. Burden of
mortality and morbidity and recurrence increase with reoperation. Hemolysis is commonly seen in paravalvular leaks
(PVL). Transcatheter repair is a less invasive technique with lower procedural mortality risk.
Case presentation: A 59-year-old male patient, presented to his primary physician for dyspnea on exertion with
no known previous medical history. Cardiac ultrasound revealed an aortic and mitral valve disease. A severely
calcified aortic valve with a moderately severe aortic regurgitation grade II to III and an aortic area of 1.3 cm2. On
the other hand, a severely calcified mitral valve mainly the anterior leaflet and a severe mitral regurgitation grade III
with a mean gradient of 7 mmHg. Patient was sent for s.. Read More»
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