title: Percutaneous Closure of Massive Mitral Paravalvular Leak.
abstract: A 59-year-old male with a history of mitral valve replacement several years previously was admitted to the authors' institution with symptoms of advanced heart failure. Echocardiography showed a severe paravalvular dehiscence and surgery was discouraged due to high perioperative risk. A first transcatheter leak closure was unsuccessful despite the correct deployment of various occluding devices. A second percutaneous attempt was carried out with implantation of three Amplatzer Vascular Plug® III devices (five occluders were positioned in total within the oblong defect), leading to a mild residual leakage. Device embolism occurred twice during the procedure but was resolved using adequate catheter retrieval techniques.
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain. Electronic correspondence: tomasbenito@outlook.com.
authors.forename: Tomás
authors.initials: T
authors.lastname: Benito-González
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Estévez-Loureiro
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain.
authors.forename: Armando
authors.initials: A
authors.lastname: Pérez de Prado
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain.
authors.forename: Emilse
authors.initials: E
authors.lastname: Martínez-Paz
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Garrote Coloma
authors.affiliation: Department of Cardiology, Hospital of León, León, Spain.
authors.forename: Felipe
authors.initials: F
authors.lastname: Fernández-Vázquez
mesh_terms: D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011475:Prosthesis Failure; D012307:Risk Factors; D055989:Septal Occluder Device; D013997:Time Factors