Repair of prosthetic mitral valve paravalvular leak using an off-pump transapical approach.
Patients who present with significant paravalvular regurgitation after mitral valve replacement remain a difficult patient population and high-risk surgical candidates. We present 3 cases of transapical closure of mitral valve paravalvular leak (PVL) after mitral valve replacement using Amplatzer closure devices (AGA Medical Corp, Plymouth, MN). All 3 patients experienced decreased regurgitation at the site of the closure as well as symptomatic improvement in their heart failure.
Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA. vthoura@emory.edu
Vinod H
VH
Thourani
Colleen M
CM
Smith
Robert A
RA
Guyton
Peter
P
Block
David
D
Liff
Patrick
P
Willis
Stamatios
S
Lerakis
Chesnal D
CD
Arepalli
Sharon
S
Howell
Bryon J
BJ
Boulton
James
J
Stewart
Vasilis
V
Babaliaros
D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery