Percutaneous closure of a complex prosthetic mitral paravalvular leak using transesophageal echocardiographic guidance
Pate, G.; Webb, J.; Thompson, C.; Munt, B.; Chugh, S.; Carere, R.; Moss, R.
Canadian Journal of Cardiology 20(4): 452-455
2004
ISSN/ISBN: 0828-282X PMID: 15057323 Document Number: 568324
A 75-year-old man had a significant mitral paravalvular teak following unsuccessful mitrat valve repair at age 71 years and mitral valve replacement two years later. He was referred for percutaneous closure, which was performed with an atrial septal defect occluder device. Subsequently, a small residual leak was closed with an embotization coil. A novel technique for identifying the paravalvular leak with simultaneous transesophageal and radiographic guidance is described.