title: Multi-modality guided trans-apical closure of recurrent mitral para-valvular regurgitation after failed surgical management in a patient with osteogenesis imperfecta.
abstract: We report a case of a 54 year-old man with osteogenesis imperfecta who developed severe para-valvular mitral regurgitation after a second heart operation to correct the same problem. The large para-valvular leak was successfully closed with an Amplatzer Vascular Plug III delivered from the apical approach.
authors.affiliation: Monash Cardiovascular Research Centre, MonashHeart and Department of Medicine (Southern Clinical School) Monash Health and Monash University. Melbourne Australia. Electronic address: vimalcardio@gmail.com.
authors.forename: Vimalraj
authors.initials: V
authors.lastname: Boganashanmugam
authors.affiliation: Department of Cardiothoracic Surgery Monash Health, and Department of Surgery (Southern Clinical School) Monash University. Melbourne Australia.
authors.forename: Jacob
authors.initials: J
authors.lastname: Goldstein
authors.affiliation: Monash Cardiovascular Research Centre, MonashHeart and Department of Medicine (Southern Clinical School) Monash Health and Monash University. Melbourne Australia.
authors.forename: Richard W
authors.initials: RW
authors.lastname: Harper
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D010013:Osteogenesis Imperfecta / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*
keywords: Device closure; Mitral; Paravalular leak; Trans-apical; Transcatheter