title: Percutaneous closure of a tricuspid paravalvular leak with an Amplatzer duct occluder II via antegrade approach.
abstract: Paravalvular leaks are seen after valve-replacement surgery and most patients with these leaks are asymptomatic, probably due to the small size of the  leak. Nevertheless, a paravalvular leak after tricuspid valve replacement is a rare complication and may cause severe haemoylsis and hepatic dysfunction. It is usually treated  surgically. There are no data on percutaneous transcatheter closure of paravalvular leaks. In this report, we present a successful percutaneous closure of a paravalvular leak  using an Amplatzer duct occluder II device after a tricuspid valve replacement in a patient with high operative risk who had also had mitral and aortic valve  replacements.
authors.affiliation: Department of Cardiology, Gulhane Military Medical Academy, School of Medicine, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Iyisoy
authors.forename: H
authors.initials: H
authors.lastname: Kursaklioglu
authors.forename: T
authors.initials: T
authors.lastname: Celik
authors.forename: O
authors.initials: O
authors.lastname: Baysan
authors.forename: M
authors.initials: M
authors.lastname: Celik
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D014262:Tricuspid Valve Insufficiency / Q000601:surgery