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You are here: Contents > 2015 > Volume 24 Number 5 September 2015 > ATRIOVENTRICULAR VALVES > Transfemoral Treatment of a Paraprosthetic Mitral Leak and Mitral Bioprosthesis Failure Complicated by Embolization of In-Situ Vascular Plug

Transfemoral Treatment of a Paraprosthetic Mitral Leak and Mitral Bioprosthesis Failure Complicated by Embolization of In-Situ Vascular Plug

Neil Ruparelia1,2,3, Azeem Latib1,3, Eustachio Agricola1, Fabrizio Monaco1, Pietro Spagnolo1, Ottavio Alfieri1, Matteo Montorfano1, Antonio Colombo1,3

1San Raffaele Scientific Institute, Milan, Italy, 2Imperial College, London, UK, 3EMO-GVM Centro Cuore Columbus, Milan, Italy

Today, increasing numbers of patients are presenting to clinical teams with signs and symptoms of mitral bioprosthesis failure. Whilst redo surgery is currently the treatment option of choice, many patients have multiple co-morbidities and are deemed to be of prohibitively high surgical and anaesthetic risk. Percutaneous transcatheter treatment can offer a potential solution for these patients. Herein is reported a case where simultaneous transcatheter interventions for paraprosthetic leak and mitral bioprosthesis implantation were performed via the transfemoral route, and an unforeseen complication was successfully managed.


Video 1: Baseline transesophageal echocardiography. Severe infero-posterior paramitral leak and mitral bioprosthesis dysfunction

Video 2: Peri-procedural fluoroscopy. Embolization of in-situ Amplatzer vascular plug into the left ventricle

Video 3: Final transesophageal echocardiography, showing mild residual paravalvular leak and excellent function of the mitral prosthesis

The Journal of Heart Valve Disease 2015;24:653-655


Transfemoral Treatment of a Paraprosthetic Mitral Leak and Mitral Bioprosthesis Failure Complicated by Embolization of In-Situ Vascular Plug

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