Closure of prosthetic paravalvular mitral regurgitation with the Gianturco-Grifka vascular occlusion device.
Paravalvular regurgitation associated with prothetic mitral valves is often a consequence of infectious endocarditis. The condition is usually treated with debridement and repeat surgical valve replacement. However, repeated operations are associated with high risk. This report describes a case of successful transcatheter treatment of severe paravalvular mitral regurgitation and pulmonary edema in a patient in whom repeat mitral valve replacement was not believed possible.
Eisenhauer
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AC
Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Piemonte
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TC
Watson
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PS
D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D002932:Cineangiography; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000628:therapy*; D011475:Prosthesis Failure; D011654:Pulmonary Edema / Q000628:therapy*