Interv Akut Kardiol. 2014;13(1):36-38

Repair of mitral paravalvular leaks by transapical approach

Jiří Ničovský, Petr Němec, Petr Malík, Aleš Tomášek, Sylva Kovalová, Josef Nečas

Centrum kardiovaskulární a transplantační chirurgie, Brno

Paravalvular leak (PVL) is one of the most serious complications after valve replacement. If it is haemodynamicaly significant the therapy

of choice is conventional open heart surgery. Percutaneous closure of the leak is the alternative method for smaller leaks. In following

case report we describe hybrid surgical-interventional transapical closure of paravalvular leak of mitral valve. We report a case of a 63

years old man after repeated sternotomy, in whom paravalvular leaks after mitral valve replacement occured. These leaks have not been

haemodynamicaly significant, but severe transfusion-requiring hemolytic developed. Because of high operative risk the percutaneous

closure was recommended, however this approach was not successful. Therefore the patient was treated by the less usual way of the

leaks closure – transapical approach.

Keywords: paravalvular leak, transcathether closure, transapical approach

Published: March 1, 2014  Show citation