title: Simultaneous aortic and mitral metallic paravalvular leaks repaired through one delivery sheath.
abstract: Paravalvular leaks (PVL) are a well-known complication after prosthetic valve surgery. Effective non-surgical repair techniques are being developed using several off-label transcatheter occlusive devices given that there is no unique technique applicable to repair each paravalvular leak. We describe a technique used to simultaneously repair several PVL percutaneously, in a patient with double mechanical prosthesis using a single delivery system, by taking advantage of specific anatomical factors and selecting the best applicable devices.
authors.affiliation: Lenox Hill Heart and Vascular Institute, 130 East 77th Street, 9th Floor Black Hall, New York, NY 10021-10075, USA.
authors.forename: Claudia A
authors.initials: CA
authors.lastname: Martinez
authors.forename: Howard
authors.initials: H
authors.lastname: Cohen
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Ruiz
mesh_terms: D000792:Angiography; D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods*; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D019560:Echocardiography, Three-Dimensional; D004696:Endocarditis / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D016896:Treatment Outcome