How should I treat a percutaneous transcatheter mitral paravalvular leak closure?
BACKGROUND
A 49-year-old female presented with worsening exertional dyspnea (NYHA class III) and orthopnea for several months. Previous medical history was significant for rheumatic mitral regurgitation and three previous mitral valve replacements (MVRs).


METHODS
Transesophageal echocardiography (TEE) revealed severe mitral paravalvular leak (PVL with two jets visualised. Cardiac computed tomography angiography (CTA) revealed a larger PVL and a smaller defect.


METHODS
Severe mitral paravalvular leak.


METHODS
Transcatheter mitral paravalvular closure.
Department of Cardiology, National Heart Centre, Singapore. paul.chiam.t.l@nhc.com.sg
Paul T L
PT
Chiam
Zee-Pin
ZP
Ding
Yoong-Kong
YK
Sin
Ving-Yuen
VY
See Tho
Yeow-Leng
YL
Chua
Kurugulasigamoney
K
Gunasegaran
Vladimir
V
Jelnin
Carlos E
CE
Ruiz
D006328:Cardiac Catheterization; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*