Percutaneous closure of a complex prosthetic mitral paravalvular leak using transesophageal echocardiographic guidance.
A 75-year-old man had a significant mitral paravalvular leak following unsuccessful mitral valve repair at age 71 years and mitral valve replacement two years later. He was referred for percutaneous closure, which was performed with an atrial septal defect occluder device. Subsequently, a small residual leak was closed with an embolization coil. A novel technique for identifying the paravalvular leak with simultaneous transesophageal and radiographic guidance is described.
Pate
Gordon
G
Division of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver.
Webb
John
J
Thompson
Christopher
C
Munt
Brad
B
Chugh
Sanjay
S
Carere
Ron
R
Moss
Robert
R
D000368:Aged; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012086:Reoperation