title: [A second percutaneous closure due to residual mitral paravalvular leak and successful treatment of device embolization].
abstract: Paravalvular leak (PVL) is a common complication after surgical valve replacement. Most PVLs remain clinically silent; however, some may require reoperation due to symptomatic PVL. Surgical closure of PVL remains the most common therapy for these defects; however, redo surgery has some disadvantages, including a high recurrence rate as well as high morbidity and mortality rates. Percutaneous closure of PVLs has emerged as an alternative to surgical closure. A 42-year-old male patient underwent a second percutaneous closure due to residual mitral paravalvular leak. During the procedure, the closure device embolized in the descending aorta. The device was captured with a snare and successfully retrieved, and then PVL was successfully occluded with another device.
authors.affiliation: Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. dr_hasankaya@yahoo.com
authors.forename: Hasan
authors.initials: H
authors.lastname: Kaya
authors.forename: Faruk
authors.initials: F
authors.lastname: Ertaş
authors.forename: Mehmet Sıddık
authors.initials: MS
authors.lastname: Ulgen
authors.forename: Omer
authors.initials: O
authors.lastname: Göktekin
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic; D004617:Embolism / Q000628:therapy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011475:Prosthesis Failure; D012086:Reoperation; D014463:Ultrasonography