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10.5606/tgkdc.dergisi.2014.7666
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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