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How should I treat a percutaneous transcatheter mitral paravalvular leak closure?

How should I treat a percutaneous transcatheter mitral paravalvular leak closure?

Chiam Paul, Ding ZP, Sin YK, See Tho VY, Chua YL, Gunasegaran K, Jelnin V, Ruiz CE

Eurointervention 2010; 6: 653-9.

Abstract

BACKGROUND:

A 49-year-old female presented with worsening exertional dyspnea (NYHA class III) and orthopnea for several months. Previous medical history was significant for rheumatic mitral regurgitation and three previous mitral valve replacements (MVRs).

INVESTIGATION:

Transesophageal echocardiography (TEE) revealed severe mitral paravalvular leak (PVL with two jets visualised. Cardiac computed tomography angiography (CTA) revealed a larger PVL and a smaller defect.

DIAGNOSIS:

Severe mitral paravalvular leak.

TREATMENT:

Transcatheter mitral paravalvular closure.

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