title: An alternative technique for non-infective paraprosthetic leakage repair.
abstract: Severe paravalvular leak is generally a reason for the repetition of valve replacement surgery. On the contrary management of patients with mild and moderate defects is controversial. Long-term prognosis may be negatively affected if non-surgical strategy is adopted also in less symptomatic patients. The proposed technique of leak closure preserves the implanted prosthesis and may be useful in non-infective mild and moderate detachments. It may safely extend surgical treatment to less symptomatic patients suffering from this surgical complication.
authors.affiliation: Cardiac Surgery Division, IRCCS Ospedale Maggiore di Milano, University of Milan, Milan, Italy. amoneta@milanocuore.org
authors.forename: Andrea
authors.initials: A
authors.lastname: Moneta
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Villa
authors.forename: Francesco
authors.initials: F
authors.lastname: Donatelli
mesh_terms: D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D013536:Suture Techniques