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  • Title: Transcatheter Simultaneous Double-Transapical Access for Paravalvular Mitral Leak Closure Using the Occlutech PLD.
    Author: Pestrichella V, Pignatelli A, Alemanni R, Montesanti R, Braccio M, Greco F, D'Ambruoso P, Memmola CD, Cassese M, Contegiacomo G, Bagur R.
    Journal: J Invasive Cardiol; 2016 Jul; 28(7):E66-8. PubMed ID: 27342208.
    Abstract:
    A 67-year-old patient with rheumatic heart valve disease had undergone two cardiac surgeries at the age of 30 years, then re-do with mitral valve replacement at 50 years. She presented with congestive heart failure and hemolytic anemia. Doppler echocardiography showed moderate-severe mitral regurgitation due to paravalvular mitral valve leak (PVML) and severe pulmonary hypertension. Transesophageal echocardiography demonstrated severe PVML secondary to a large 20 mm-long PVML defect. Due to comorbidities, the heart team deemed a third reoperation at very high surgical risk; therefore, the patient was considered most suitable for a transcatheter approach to PVML closure. Two Occlutech paravalvular leak devices were successfully delivered using a simultaneous double-transapical access with double-wire technique.
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