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  • Title: Percutaneous Management of Bioprosthetic Mitral Valve Dehiscence with Combined Valve-in-Valve Replacement and Paravalvular Leak Closure.
    Author: Alturkmani H, Xu J, Chaus A, Vallurupalli S, Dhar G.
    Journal: Methodist Debakey Cardiovasc J; 2022; 18(1):117-120. PubMed ID: 36561851.
    Abstract:
    This case report describes a patient with bioprosthetic mitral valve dehiscence that resulted in severe paravalvular regurgitation and cardiogenic shock. Due to prohibitive surgical risk, valve-in-valve transcatheter mitral valve replacement was attempted but did not reduce the severity of the prosthetic paravalvular leak (PVL) severity. Subsequent percutaneous PVL closure with a ventricular septal defect occluder successfully reduced the PVL severity and led to significant clinical improvement.
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