Transcatheter closure can serve as a successful alternative to redo-surgery for complex paravalvular leaks and fistulas in high-risk patients.
Supports feasibility of transcatheter closure in select high-risk cases; leaves open need for prospective data on safety and durability.
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.
No takes yet. Share an insight, caveat, or question.
Yong et al. (2014) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: