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

Korean Circulation Journal 2014³â 44±Ç 1È£ p.49 ~ p.53

¾ö»ó¿ë(Om Sang-Yong) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
¹Ú°æ¹Î(Park Gyung-Min) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine Division of Cardiology
±èÁø¿ë(Kim Jin-Yong) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
À̽ſø(Lee Sin-won) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
À±¿ëÈÆ(Yoon Yong-Hoon) - University of Ulsan College of Medicine Asan Medical Center Department of Internal Medicine
±è¿µÇÐ(Kim Young-Hak) - University of Ulsan Asan Medical Center Department of Cardiology
¼ÛÀç°ü(Song Jae-Kwan) - University of Ulsan College of Medicine Division of Cardiology

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.

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Paravalvular leaks, Transcatheter closure, Mitral valve replacement
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