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Paravalvular Leak

Imaging findings

Pre-TAVI evaluation of a patient with an aortic root graft and previous valve replacement revealed an unexpected channel of contrast flowing around the prosthetic valve, indicative of a paravalvular leak.

Key takeaways

Routine pre-procedural imaging for TAVI can uncover unexpected valvular dehiscence or leaks. These findings necessitate careful review, as they fundamentally alter the surgical or interventional planning.

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