Rescue Transcatheter Native Aortic Valve Closure to Treat Severe Aortic Regurgitation in a Patient With Single Ventricular Physiology and Decompensated Heart Failure.

Kang, SL.; Deri, A.; Suliman, M.; Bentham, JR.

Rescue Transcatheter Native Aortic Valve Closure to Treat Severe Aortic Regurgitation in a Patient With Single Ventricular Physiology and Decompensated Heart Failure.

All Authors

Kang, SL.

Deri, A.

Suliman, M.

Bentham, JR.

LTHT Author

Kang, Sok-Leng
Deri, Antigoni
Suliman, Mohamed
Bentham, James

LTHT Department

Leeds Children's Hospital
Paediatric Cardiology

Publication Date

2025

Item Type

Case Reports
Journal Article

Abstract

Semilunar valve regurgitation in single ventricular physiology is rare but portends a poor prognosis. Medical therapy is often ineffective particularly in the context of structural valve abnormality, and surgical valve repair or replacement can be associated with poor outcomes. We report an innovative use of a highly occlusive and conformable Gore Septal Occluder for transcatheter treatment of severe native aortic regurgitation in a symptomatic patient with hypoplastic left heart syndrome and severe systemic right ventricular dysfunction, resulting in safe and complete occlusion of the aortic regurgitant orifice and clinical benefit.