WHAT IS PARAVALVULAR LEAK?
Paravalvular leak referes to a leak following surgical aortic valve replacement. It is leak from the side of the new valve due to suture breakdown. For further details please use this contact form.
WHAT ARE SYMPTOMS OF PARAVALVULAR LEAK?
If a patients symtoms do not improve following open heart valve surgery, then one should suspect paravalvular leak. It can present as congestive heart failure or hemolytic anemia due to breakdown of blood cells. It is also a nidus for infection.
WHAT TEST IS REQUIRED FOR ITS DIAGNOSIS?
2-D Echo, Transesophageal echocardiogram(TEE) and CT scan helps in diagnosing paravalvular leaks.
IS REPEAT SURGERY A TREATMENT OPTION?
Yes repeat surgery is a treatment option, especially when the leak is very big. It happens when more than 40% of the circumference is dehisced. However, repeat surgery carries high morbidity, mortality and recurrence rate of approximately 30%.
WHAT IS NON-SURGICAL TREATMENT OF PARAVALVULAR LEAK CLOSURE?
Paravalvular leaks can be closed using plugs by catheter (without open heart surgery). It is a safe procedure and success rate is more than 90%. It is done in a cardiac catheterization lab. For further details please use this contact form.