Percutaneous Closure of Mitral Paravalvular Leak

537-540

Abstract

The development of paravalvular leak (PVL) after mitral valve replacement is a rare event but of high symptomatic incidence.The surgical repair of this condition has high morbidity and mortality; for this reason, several percutaneous techniques have been attempted with a successful rate that varies between 60% and 90%. In this presentation is described the case of a young female patient, with multiple prior mitral valve surgeries, symptomatic because of limiting dyspnea and hemolytic anemia. The PVL was closed using a specially designed Amplatzer III device under three-dimensional echocardiographic images. After 3 months of follow up, the PVL remains totally excluded and the patient is asymptomatic.