Department of Interventional Cardiology at Notre Dame de Secours, Jbeil, Lebanon
 Case Report   
								
																Paravalvular Leaks with Iatrogenic Ventricular Septal Defect in a Patient with Double Valve Replacement: A Case Report 
																Author(s): Tabbah R*, Rachoin R, Sawaya F, Harb B and Saroufim K             
								
																
						 Background: Para-prosthetic leaks post valvular replacement is a relatively rare complication. Burden of 
  mortality and morbidity and recurrence increase with reoperation. Hemolysis is commonly seen in paravalvular leaks 
  (PVL). Transcatheter repair is a less invasive technique with lower procedural mortality risk.
Case presentation: A 59-year-old male patient, presented to his primary physician for dyspnea on exertion with 
  no known previous medical history. Cardiac ultrasound revealed an aortic and mitral valve disease. A severely 
  calcified aortic valve with a moderately severe aortic regurgitation grade II to III and an aortic area of 1.3 cm2. On 
  the other hand, a severely calcified mitral valve mainly the anterior leaflet and a severe mitral regurgitation grade III 
  with a mean gradient of 7 mmHg. Patient was sent for s.. Read More»
						  
															  
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