Why the study?
Studies comparing outcomes between surgical and catheter-based closure for mitral paravalvular leak were lacking.
Does transapical catheter-based closure improve outcomes compared to re-do surgery in patients with mitral paravalvular leak?
Does transapical catheter-based closure improve outcomes compared to re-do surgery in patients with mitral paravalvular leak?
Transapical catheter-based closure of mitral paravalvular leak appears safer than re-do surgery with similar efficacy in reducing regurgitation.
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Transapical closure was associated with lower perioperative risks than redo surgery; leaves open preference pending randomized confirmation.
Zorinas et al. (2022) studied this question.
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