Kissing Balloon "Valvuloplasty" of Obstructed Mechanical Aortic Valve: When You Are Running Out of Options

David Smith; Ayush Khurana; Aprim Youhana; Adrian Ionescu

doi:10.1016/j.jaccas.2022.04.003

Kissing Balloon "Valvuloplasty" of Obstructed Mechanical Aortic Valve: When You Are Running Out of Options

JACC Case Rep. 2022 Jul 6;4(13):799-801. doi: 10.1016/j.jaccas.2022.04.003.

Authors

David Smith¹, Ayush Khurana¹, Aprim Youhana², Adrian Ionescu¹

Affiliations

¹ Department of Cardiology, Morriston Cardiac Centre, Swansea Bay University Health Board, Swansea, United Kingdom.
² Department of Cardiac Surgery, Morriston Cardiac Centre, Swansea Bay University Health Board, Swansea, United Kingdom.

Abstract

We report an unusual case where "stuck" bileaflet aortic prosthetic valve occluders were partly released by performing emergency balloon dilatation with 2 noncompliant balloons by a percutaneous femoral approach. (Level of Difficulty: Advanced.).

Keywords: AVR, aortic valve replacement; EF, ejection fraction; LV, left ventricular; MVR, mitral valve replacement; mechanical valves; obstructed occluders; pannus; t-PA, tissue-type plasminogen activator.