A pendular prosthetic valve: severe paravalvular aortic leak

Abstract

A 54-year old man with rheumatic cardiac disease was hospitalized for chest pain 9 years after combined aortic and mitral valve replacement (CL-III tilting disc valve prosthesis, Lanzhou, China). Physical examination and echocardiography indicated severe paravalvular aortic leak. The pendular prosthetic valve was recorded by coronary angiography (Fig. 1A and B; Supplementary Video S1). Supplementary material is available at EJCTS online. Supplementary Video 1: Coronary angiography of left anterior descending coronary artery in right anterior oblique caudal view showed severe paravalvular aortic leak and pendular flap of aortic prosthetic valve in cardiac cycle.