title: Mitral paravalvular leak closure by antegrade percutaneous approach using amplatzer PFO closure device.
abstract: Percutaneous closure of paravalvular leaks is becoming a more widely practiced technique. We describe the technique we used to deploy an Amplatzer PFO closure device to treat a prosthetic mitral paravalvular leak. The procedure was performed under real time 3D trans-oesophageal echo and fluoroscopic guidance requiring a trans-septal puncture and utilising an 035″ Safari wire which was developed for TAVR implantation. An excellent result was achieved acutely and at 4 month follow-up. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Cardiology, Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: R
authors.initials: R
authors.lastname: Hilling-Smith
authors.affiliation: Department of Cardiology, Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Chong
authors.affiliation: Department of Cardiology, Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Cox
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D015641:Radiography, Interventional; D055989:Septal Occluder Device; D016896:Treatment Outcome
keywords: Mitral valve disease percutaneous intervention; paravalvular leak; patent foramen ovale closure; structural heart disease intervention