Transcatheter Aortic Valve Replacement for Aortic Stenosis With Prosthetic Mitral Paravalvular Leak and Hemolytic Anemia

Hideaki Kanzaki, MD, PhD; Yusuke Shimahara, MD, PhD; Makoto Amaki, MD, PhD; Atsushi Okada, MD, PhD; Tomoyuki Fujita, MD, PhD; Chisato Izumi, MD, PhD; Satoshi Yasuda, MD, PhD; Junjiro Kobayashi, MD, PhD

JACC: Case Reports (Nov 2020)

Transcatheter Aortic Valve Replacement for Aortic Stenosis With Prosthetic Mitral Paravalvular Leak and Hemolytic Anemia

Hideaki Kanzaki, MD, PhD,
Yusuke Shimahara, MD, PhD,
Makoto Amaki, MD, PhD,
Atsushi Okada, MD, PhD,
Tomoyuki Fujita, MD, PhD,
Chisato Izumi, MD, PhD,
Satoshi Yasuda, MD, PhD,
Junjiro Kobayashi, MD, PhD

Affiliations

Hideaki Kanzaki, MD, PhD: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan; Address for correspondence: Dr. Hideaki Kanzaki, Department of Cardiovascular Medicine, Heart Failure Division, National Cerebral and Cardiovascular Center, 6-1, Kishibe-Shimmachi, Suita, Osaka 564-8565, Japan.
Yusuke Shimahara, MD, PhD: Department of Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
Makoto Amaki, MD, PhD: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
Atsushi Okada, MD, PhD: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
Tomoyuki Fujita, MD, PhD: Department of Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
Chisato Izumi, MD, PhD: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
Satoshi Yasuda, MD, PhD: Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
Junjiro Kobayashi, MD, PhD: Department of Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan

Journal volume & issue: Vol. 2, no. 14
pp. 2146 – 2150

Abstract

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This report describes a successful transcatheter aortic valve replacement in an older patient with severe aortic stenosis, mitral paravalvular leak, and associated hemolytic anemia. Transcatheter aortic valve replacement is worth considering as a first-line procedure in this high-risk patient because of its beneficial impact on reducing shear forces at the mitral valve. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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