: A 56-year-old patient was referred because of refractory heart failure and mild haemolysis caused by multiple, severe paravalvular leaks of a Starr-Edwards valve implanted in mitral position 23 years before. Owing to perceived high risk of surgical re-valving, percutaneous paravalvular leak occlusion was performed by implantation of multiple, simultaneously deployed Amplatzer Vascular Plugs.
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Article Synopsis
- Paravalvular leaks (PVL) after mitral valve replacement happen in 7% to 17% of cases, with 1% to 5% being serious.
- Surgical repair is typically suggested, but transcatheter PVL closures have proven to have better results and fewer complications.
- This case report explores a patient with a severe PVL following aortic and mitral valve replacement who was treated using a transapical approach, looking into the outcomes and possible complications.
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