Transcatheter closures for fistula tract and paravalvular leak after mitral valve replacement and tricuspid annuloplasty.
Paravalvular leaks (PVLs) often occur after surgical valve replacement. Surgical reoperation has been the gold standard of therapy for PVLs, but it carries a higher operative risk and an increased incidence of re-leaks compared to the initial surgery. In high surgical risk patients with appropriate geometries, transcatheter closure of PVLs could be an alternative to redo-surgery. Here, we report a case of successful staged transcatheter closures of a fistula tract between the aorta and right atrium, and mitral PVLs after mitral valve replacement and tricuspid annuloplasty.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sang Yong
SY
Om
Division of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Gyung Min
GM
Park
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jin Yong
JY
Kim
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Yong Hoon
YH
Yoon
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sinwon
S
Lee
Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Young-Hak
YH
Kim
Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jae-Kwan
JK
Song
Mitral valve replacement; Paravalvular leaks; Transcatheter closure