Cardiothoracic & vascular anesthesia
Benign Intravalvular Strut Leak After Placement of the Inspiris Resilia Valve
Authors' conclusion
This pattern of intravalvular leak is unique to the Inspiris Resilia valve and is commonly found in the intraoperative period.
Study context
- Population
- Adults undergoing aortic valve replacement with the Inspiris Resilia valve at a single tertiary care academic centre (paediatric patients and aortic valve conduits excluded)charts and echo images reviewed
- Participants
- 81 adults
- Outcome
- Incidence and severity of intravalvular (strut) leak on intraoperative TEE
- Follow-up
- At the time of implantation
Methodological detailssingle-centre, transesophageal echocardiography (TEE) images reviewed independently by 2 echocardiographers
- Single-centre
- TEE images reviewed independently by 2 echocardiographers
Main finding
As reported in the abstract
Intravalvular strut leak at implantation (intraoperative TEE)
TEEs with strut leak, of 81 reviewed
56
69.1%
Trace regurgitation
30
Mild regurgitation
21
Moderate regurgitation
5
Observational data: associations, not effects.
Further findings
Persistent leak on follow-up transthoracic echocardiography · outpatient follow-up
- Follow-up reports available
- 50
- No persistent leaks
Safety
Return to CPB owing to persistent intravalvular leak
- Cases necessitating return to CPB
- 1
Original publication
Benign Intravalvular Strut Leak After Placement of the Inspiris Resilia Valve. J Cardiothorac Vasc Anesth. Published 7 July 2024. doi:10.
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