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  • Title: Repair of prosthetic mitral valve paravalvular leak using an off-pump transapical approach.
    Author: Thourani VH, Smith CM, Guyton RA, Block P, Liff D, Willis P, Lerakis S, Arepalli CD, Howell S, Boulton BJ, Stewart J, Babaliaros V.
    Journal: Ann Thorac Surg; 2012 Jul; 94(1):275-8. PubMed ID: 22734994.
    Abstract:
    Patients who present with significant paravalvular regurgitation after mitral valve replacement remain a difficult patient population and high-risk surgical candidates. We present 3 cases of transapical closure of mitral valve paravalvular leak (PVL) after mitral valve replacement using Amplatzer closure devices (AGA Medical Corp, Plymouth, MN). All 3 patients experienced decreased regurgitation at the site of the closure as well as symptomatic improvement in their heart failure.
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