title: Diagnosis and Treatment of Left-Sided Prosthetic Paravalvular Regurgitation.
abstract: Paravalvular leak (PVL) is a complication related to the surgical implantation of left-sided prosthetic valves. The prevalence of paravalvular regurgitation ranges between 5 and 20%. Left-sided prosthetic paravalvular regurgitation presents with a wide constellation of signs and symptoms ranging from asymptomatic murmur to heart failure, hemolysis and cardiac cachexia. Echocardiography plays a key role in imaging the PVL and can help in guiding the closure procedure with both transesophageal and intracardiac probes. Transcatheter closure of paravalvular regurgitations is an appealing prospect.
authors.affiliation: Catheterization Laboratory, Department of Cardiology, Evaggelismos General Hospital of Athens, Athens, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Lampropoulos
authors.forename: Constantina
authors.initials: C
authors.lastname: Aggeli
authors.forename: Aikaterini
authors.initials: A
authors.lastname: Megalou
authors.forename: John
authors.initials: J
authors.lastname: Barbetseas
authors.forename: Werner
authors.initials: W
authors.lastname: Budts
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000628:therapy*; D011183:Postoperative Complications; D016896:Treatment Outcome