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Shabnam Rashid, BSc, MBChB, Daniel J

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Presentation on theme: "Shabnam Rashid, BSc, MBChB, Daniel J"— Presentation transcript:

1 Lotus-in-Evolut R transcatheter aortic valve implantation for severe paravalvular leak 
Shabnam Rashid, BSc, MBChB, Daniel J. Blackman, MD, MBChB, Christopher Malkin, MD, MBChB  Journal of Cardiology Cases  Volume 14, Issue 4, Pages (October 2016) DOI: /j.jccase Copyright © 2016 Japanese College of Cardiology Terms and Conditions

2 Fig. 1 (A) Computed tomography (CT) scan demonstrating the distribution of calcium in the left ventricular outflow tract. (B) Extent of calcium in the annulus. (C) CT scan demonstrating the distribution of calcium in the left ventricular outflow tract. Journal of Cardiology Cases  , 97-99DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

3 Fig. 2 (A) Deployment of the Evolut-R valve (Medtronic, Minneapolis, MN, USA) 5mm below the coronary sinus. Paravalvular leak (PVL) after the implant of the Evolut-R valve. (B) Evolut-R valve remains 5mm below the coronary sinus. Moderate PVL 24h after the implant of the Evolut-R valve. (C) Positioning of the Lotus valve (Boston Scientific, Marlborough, MA, USA) below frame of Evolut-R valve. (D) Partial deployment of Lotus valve. Aortography revealed no PVL. (E) Fully deployed Lotus valve. (F) Aortography reveals no PVL after deployment of the Lotus valve. Journal of Cardiology Cases  , 97-99DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

4 Fig. 3 Simultaneous recording of left ventricular and aortic pressure after implantation of the Evolut-R valve (Medtronic, Minneapolis, MN, USA). Journal of Cardiology Cases  , 97-99DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

5 Fig. 4 Diagram demonstrating the features of the Lotus valve (Boston Scientific, Marlborough, MA, USA). Journal of Cardiology Cases  , 97-99DOI: ( /j.jccase ) Copyright © 2016 Japanese College of Cardiology Terms and Conditions

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