title: Percutaneous closure of tricuspid paravalvular leak.
abstract: While transcatheter closure of mitral and aortic paravalvular leaks has been well-described, there are no prior reports of such procedures for prosthetic tricuspid valves. We describe our experience with percutaneous closure of a tricuspid paravalvular leak in a 34-year-old patient with a history of tricuspid atresia. He had previously undergone repair with placement of a right atrium-to-right ventricle conduit and most recently, placement of a bio-prosthetic tricuspid valve. He subsequently developed significant tricuspid paravalvular leak with symptoms of severe right heart failure. His clinical status was improved following successful transcatheter closure of the defect.
authors.affiliation: Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital of New York-Presbyterian, New York, New York.
authors.forename: Mariel E
authors.initials: ME
authors.lastname: Turner
authors.forename: Wyman W
authors.initials: WW
authors.lastname: Lai
authors.forename: Julie A
authors.initials: JA
authors.lastname: Vincent
mesh_terms: D000328:Adult; D021721:Balloon Occlusion; D001705:Bioprosthesis; D006328:Cardiac Catheterization; D020878:Device Removal; D018618:Echocardiography, Doppler, Color; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D016896:Treatment Outcome; D018785:Tricuspid Atresia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
keywords: congenital heart disease in adults; paravalvular leaks; pediatric interventions