Repair of paravalvular prosthetic mitral valve leaks with septal occluder devices in severely high-risk patients: a word of caution.
Paravalvular leak following a mitral valve replacement is a complication seen in approximately 1 of 10 replacements. The corrective method has traditionally been reoperation. Septal occluder devices are more commonly being utilized as an alternative percutaneous correction method. We report the use of septal occluder devices in the repair of mitral paravalvular leak in two patients at severely high EuroSCORE II mortality risk. In both patients, the occluder devices became unstable, leading to a recurrence of severe paravalvular leak.
Department of Thoracic and Cardiovascular Surgery, Spectrum Health, Frederik Meijer Heart & Vascular Institute, Grand Rapids, MI, USA. smit1628@msu.edu
Craig R
CR
Smith
Sotiris C
SC
Stamou
William M
WM
Merhi
Robert L
RL
Hooker
D000368:Aged; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D055989:Septal Occluder Device / Q000009:adverse effects*