Closure of Three Separate Complex Paravalvular Defects with Four Devices By Transapical Approach
Alev Kılıçgedik1
, Deniz Çevirme1, Mehmet Muhsin Türkmen2, Cevat Kırma2, Mehmet Özkan2
1University of Health Sciences, Istanbul Kartal Kosuyolu High Speciality Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
2University of Health Sciences, Istanbul Kartal Kosuyolu High Speciality Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
Keywords: Paravalvular leak, echocardiography, leak
Abstract
Paravalvular leaks (PVL) that complicate prosthetic valve replacement may be observed in 2%-12% of the patients after mitral valve replacement and 1%-5% of the patients after aortic valve replacement. The percutaneous closure of PVL is considered as a less invasive alternative to a surgical closure for symptomatic relief in high-risk patients. The objective of this case report is to present a successful transapical closure of three separate mitral paravalvular defects with four devices in a patient with severe hemolysis.
Written informed consent was obtained from the patient who participated in this study.
Externally peer-reviewed.
Concept/Design - All of authors; Analysis/Interpretation - All of authors; Data Collection - All of authors; Writing - All of authors; Critical Revision - All of authors; Final Approval - All of authors.
The authors have no conflict of interest to declare.
The authors declared that this study has received no financial support.