This report describes a novel and successful retrograde transmitral paravalvular leak closure technique via an antegrade transseptal approach, offering an alternative when conventional methods fail.
May offer bailout for failed antegrade mitral PVL closure; hypothesis-generating, requiring prospective validation before adoption.
Mitral paravalvular leak (PVL) remains a well‐known complication after mitral valve replacement. Since the first report over 25 years ago, several catheter‐based PVL closure techniques have been described. Most of these comprise of either an antegrade transseptal approach, or a retrograde transaortic or transapical approach. We herein report a novel percutaneous mitral PVL closure technique that was safely and successfully performed after failed attempt using a conventional antegrade approach.
No takes yet. Share an insight, caveat, or question.
Cubeddu et al. (2018) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: