Patient with an aortic paravalvular leak (PVL) associated with a large pseudoaneurysm and a long, serpiginous tract
Percutaneous hybrid approach
Single-site transcatheter exclusion
Reduction of regurgitation and mitigation of aneurysmal expansion
A percutaneous hybrid approach may be necessary for complex aortic paravalvular leaks with large pseudoaneurysms, as single-site transcatheter exclusion is inadequate.
This case explores the complexities of treating PVL associated with a long and serpiginous tract with aneurysmal growth. Single-site transcatheter exclusion is inadequate to reduce regurgitation and mitigate aneurysmal expansion for serpiginous PVL tracts associated with pseudoaneurysm.
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Craig Basman
Perry Wengrofsky
Vladimir Jelnin
JACC Case Reports
Hackensack University Medical Center
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Basman et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69d892886c1944d70ce03f67 — DOI: https://doi.org/10.1016/j.jaccas.2026.107631
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