Surgery Versus Transcatheter Interventions for Significant Paravalvular Prosthetic Leaks.

Objectives: This study sought to assess the relative merit of surgical correction (SC) versus transcatheter reduction on long-term outcomes in patients with significant paravalvular leak (PVL) refractory to medical therapy.

Background: PVL is the most frequent dysfunction following prosthetic valve replacement. Although repeat surgery is the gold standard, transcatheter reduction (TR) of PVL has been associated with reduced mortality.

Long-term results after surgical treatment of paravalvular leak in the aortic and mitral position.

Objectives: The aim of this study was to determine immediate results and long-term outcomes after surgical management of paravalvular leak (PVL).

Methods: Between 1995 and 2012, a total of 190 patients underwent primary surgical repair (n = 142) or valve replacement (n = 48) for a PVL at our institution. The PVL was mild in 6 (3%) patients, moderate in 85 (45%), moderate to severe in 84 (44%), and severe in 15 (8%).