Mitral paravalvular leak closure via minimal invasive transapical approach

Atila İyisoy; Turgay Çelik; Sait Demirkol; Faruk Cingöz; Emre Yalçınkaya; Uygar Çağdaş Yüksel; Ersel Onrat

doi:10.5606/tgkdc.dergisi.2014.7666

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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