Paravalvular leak closure with two large size devices

• Published in: Indian heart journal Vol. 66; no. 1; pp. 91 - 94
• Main Authors: Trehan, V.K, Subhendu, M.S.K, Chaturvedi, V, Pandit, B.N, Goyal, M
• Format: Journal Article
• Language: English
• Published: India Elsevier 2014
• Subjects: Adult; Anastomosis, Surgical - adverse effects; Anastomotic Leak - therapy; Balloon Occlusion - instrumentation; Balloon Occlusion - methods; Bioprosthesis; Cardiac Catheterization - instrumentation; Cardiac Catheterization - methods; Cardiovascular; Case Report; Echocardiography, Doppler; Follow-Up Studies; Heart Valve Prosthesis Implantation - adverse effects; Heart Valve Prosthesis Implantation - methods; Humans; Male; Mitral regurgitation; Mitral Valve Insufficiency - diagnostic imaging; Mitral Valve Insufficiency - surgery; Paravalvular leak; Percutaneous closure; Risk Assessment; Septal Occluder Device; Treatment Outcome; Mitral regurgitation; Paravalvular leak; Percutaneous closure
• ISSN: 0019-4832
• DOI: 10.1016/j.ihj.2013.12.033

Abstract Paravalvular leaks (PVL) after valve replacement surgeries are not uncommon. A significant number of these patients need some form of intervention as they commonly present with heart failure or severe hemolysis. Surgical correction is associated with high mortality and morbidity. Device closure of PVLs has been found to have good results. Since there are no devices designed specifically for PVL closure, large PVL closure is difficult. Occasional larger PVLs have been closed with a combination of a device and smaller coils. We present here a case of very large sized mitral PVL, in a patient with high risk for surgery, which was closed with two large size devices.