Transcatheter Closures for Fistula Tract and Paravalvular Leak after Mitral Valve Replacement and Tricuspid Annuloplasty.

Author: Sang Yong OM ¹ ; Gyung Min PARK ; Jin Yong KIM ; Yong Hoon YOON ; Sinwon LEE ; Young Hak KIM ; Jae Kwan SONG
Author Information

1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Publication Type:Case Report
Keywords: Paravalvular leaks; Transcatheter closure; Mitral valve replacement
MeSH: Aorta; Fistula*; Heart Atria; Humans; Incidence; Mitral Valve*; Reoperation; Surgical Instruments
From:Korean Circulation Journal 2014;44(1):49-53
CountryRepublic of Korea
Language:English
Abstract: Paravalvular leaks (PVLs) often occur after surgical valve replacement. Surgical reoperation has been the gold standard of therapy for PVLs, but it carries a higher operative risk and an increased incidence of re-leaks compared to the initial surgery. In high surgical risk patients with appropriate geometries, transcatheter closure of PVLs could be an alternative to redo-surgery. Here, we report a case of successful staged transcatheter closures of a fistula tract between the aorta and right atrium, and mitral PVLs after mitral valve replacement and tricuspid annuloplasty.