title: Paravalvular leak closure with two large size devices.
abstract: Paravalvular leaks (PVL) after valve replacement surgeries are not uncommon. A significant number of these patients need some form of intervention as they commonly present with heart failure or severe hemolysis. Surgical correction is associated with high mortality and morbidity. Device closure of PVLs has been found to have good results. Since there are no devices designed specifically for PVL closure, large PVL closure is difficult. Occasional larger PVLs have been closed with a combination of a device and smaller coils. We present here a case of very large sized mitral PVL, in a patient with high risk for surgery, which was closed with two large size devices.
authors.affiliation: Professor of Cardiology, Department of Cardiology, Gobind Ballabh Pant Hospital, New Delhi 110002, India.
authors.forename: V K
authors.initials: VK
authors.lastname: Trehan
authors.affiliation: Assistant Professor of Cardiology, Department of Cardiology, Gobind Ballabh Pant Hospital, New Delhi 110002, India. Electronic address: drsubhendu@gmail.com.
authors.forename: M S K
authors.initials: MS
authors.lastname: Subhendu
authors.affiliation: Assistant Professor of Cardiology, Department of Cardiology, Gobind Ballabh Pant Hospital, New Delhi 110002, India.
authors.forename: V
authors.initials: V
authors.lastname: Chaturvedi
authors.affiliation: Department of Cardiology, Gobind Ballabh Pant Hospital, New Delhi 110002, India.
authors.forename: B N
authors.initials: BN
authors.lastname: Pandit
authors.affiliation: Department of Cardiology, Gobind Ballabh Pant Hospital, New Delhi 110002, India.
authors.forename: M
authors.initials: M
authors.lastname: Goyal
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D057868:Anastomotic Leak / Q000628:therapy*; D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D055989:Septal Occluder Device; D016896:Treatment Outcome
keywords: Mitral regurgitation; Paravalvular leak; Percutaneous closure