I had my bicuspid calcified aortic valve replaced with a St Jude mechanical valve 9 weeks ago. They have discovered a paravalvular leak around the edge where the sutures are. My cardio-thorasic surgeon doesn't seem to know what to do. Are there institution around the US or anywhere else that know how to plug this leak? Apparently, I would need an AMPLATZER Vascular Plug III that is oval shaped. But I'm getting that this plug may not be approved for use in the US. Where do I go from here?
Interventional cardiologists perform paravalvular leak closures using vascular plug devices such as the amplatzer device you describe above. Without being to review your entire case and see the cardiac imaging I cannot comment on the feasibility of a percutaneous approach in your case. I would recommend discussing this with your cardiologist.
We perform these kind of procedures here at the Cleveland Clinic and would be happy to evaluate you here to see if this would be feasible.
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