ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mitral paravalvular leak closure via minimal invasive transapical approach
Atila İyisoy1, Turgay Çelik1, Sait Demirkol1, Faruk Cingöz2, Emre Yalçınkaya1, Uygar Çağdaş Yüksel1, Ersel Onrat3
1Departments of Cardiology, Gülhane Military Medical Academy, Ankara, Turkey
2Departments of Cardiovascular Surgery, Gülhane Military Medical Academy, Ankara, Turkey
3Department of Cardiology, Medical Faculty of Afyon Kocatepe University, Afyon, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.7666
Paravalvular leak is a common postoperative complication of cardiac valve replacement, leading to a significant morbidity. Leak closure surgery is usually performed in symptomatic patients. Since most patients with paravalvular leak have a high risk profile for surgical closure, percutaneous closure is the preferred treatment modality. However, complex anatomy of the defects may complicate percutaneous closure procedures, requiring substantial surgical expertise. It is unlikely to close severe mitral paravalvular leaks in patients with dual mechanical prostheses percutaneously due to technical difficulties. In this article, we report a 49-year-old male case with mitral paravalvular leak closure via transapical approach using minimal invasive surgery.
Keywords : Minimal invasive; paravalvular leak; transapical
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