Closure of apical access site after transapical, transcatheter paravalvular leak closure. 2012

Fabian Nietlispach, and Friedrich Eckstein, and Manfred Seeberger, and Stefan Osswald, and Beat A Kaufmann, and Oliver Reuthebuch
Department of Cardiology, University Hospital Basel, Basel, Switzerland. fabian.nietlispach@insel.ch

The safety of percutaneous transapical mitral paravalvular leak (PVL) closure could potentially be enhanced by device closure of the ventricular access site. Percutaneous transapical PVL closure was performed. The 9F delivery sheath was pulled back, and a 6-mm Amplatzer muscular ventricular septal defect occluder was deployed at the apical puncture site. Immediate hemostasis was achieved. Total hospitalization was 9 days. New York Heart Association functional class was improved, hemoglobin and haptoglobin rose, while lactate dehydrogenase fell. Follow-up fluoroscopy and transthoracic echocardiography revealed a good functional result. Closure of the apical access site by means of an Amplatzer muscular ventricular septal defect occluder is feasible.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008943 Mitral Valve The valve between the left atrium and left ventricle of the heart. Bicuspid Valve,Bicuspid Valves,Mitral Valves,Valve, Bicuspid,Valve, Mitral,Valves, Bicuspid,Valves, Mitral
D012086 Reoperation A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery. Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D004452 Echocardiography Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic. Echocardiography, Contrast,Echocardiography, Cross-Sectional,Echocardiography, M-Mode,Echocardiography, Transthoracic,Echocardiography, Two-Dimensional,Transthoracic Echocardiography,2-D Echocardiography,2D Echocardiography,Contrast Echocardiography,Cross-Sectional Echocardiography,Echocardiography, 2-D,Echocardiography, 2D,M-Mode Echocardiography,Two-Dimensional Echocardiography,2 D Echocardiography,Cross Sectional Echocardiography,Echocardiography, 2 D,Echocardiography, Cross Sectional,Echocardiography, M Mode,Echocardiography, Two Dimensional,M Mode Echocardiography,Two Dimensional Echocardiography
D005260 Female Females
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001021 Aortic Valve The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle. Aortic Valves,Valve, Aortic,Valves, Aortic
D055989 Septal Occluder Device A CATHETER-delivered implant used for closing abnormal holes in the cardiovascular system, especially HEART SEPTAL DEFECTS; or passageways intentionally made during cardiovascular surgical procedures. Amplatzer Occluder,Amplatzer Occluder Device,Amplatzer Septal Occluder,Amplatzer Septal Occluder Device,CardioSeal Occluder,CardioSeal Septal Occluder,Gore-Helex Septal Occluder,Helex Septal Occluder,Septal Occluder,Amplatzer Occluder Devices,Amplatzer Occluders,Amplatzer Septal Occluders,CardioSeal Occluders,CardioSeal Septal Occluders,Device, Amplatzer Occluder,Device, Septal Occluder,Devices, Amplatzer Occluder,Devices, Septal Occluder,Gore Helex Septal Occluder,GoreHelex Septal Occluder,Helex Septal Occluders,Occluder Device, Amplatzer,Occluder Devices, Amplatzer,Occluder, Amplatzer,Occluder, CardioSeal,Occluder, Septal,Occluders, Amplatzer,Occluders, CardioSeal,Occluders, Septal,Septal Occluder Devices,Septal Occluder, Amplatzer,Septal Occluder, CardioSeal,Septal Occluder, Helex,Septal Occluders,Septal Occluders, Amplatzer,Septal Occluders, CardioSeal,Septal Occluders, Helex

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