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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > CASE REPORTS > Percutaneous Closure of Massive Mitral Paravalvular Leak

Percutaneous Closure of Massive Mitral Paravalvular Leak

Tomás Benito-González1,2, Rodrigo Estévez-Loureiro1, Armando Pérez de Prado1, Emilse Martínez-Paz1, Carmen Garrote Coloma1, Felipe Fernández-Vázquez1

1Department of Cardiology, Hospital of León, León, Spain
2Electronic correspondence:
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.

The Journal of Heart Valve Disease 2016;25:508-511

Percutaneous Closure of Massive Mitral Paravalvular Leak

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