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  • Title: Percutaneous Closure of Massive Mitral Paravalvular Leak.
    Author: Benito-González T, Estévez-Loureiro R, Pérez de Prado A, Martínez-Paz E, Garrote Coloma C, Fernández-Vázquez F.
    Journal: J Heart Valve Dis; 2016 Jul; 25(4):508-511. PubMed ID: 28009960.
    Abstract:
    A 59-year-old male with a history of mitral valve replacement several years previously was admitted to the authors' institution with symptoms of advanced heart failure. Echocardiography showed a severe paravalvular dehiscence and surgery was discouraged due to high perioperative risk. A first transcatheter leak closure was unsuccessful despite the correct deployment of various occluding devices. A second percutaneous attempt was carried out with implantation of three Amplatzer Vascular Plug® III devices (five occluders were positioned in total within the oblong defect), leading to a mild residual leakage. Device embolism occurred twice during the procedure but was resolved using adequate catheter retrieval techniques.
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