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Updated: Jun 7, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
How should I treat a percutaneous transcatheter mitral paravalvular leak closure?
Paul T L Chiam1, Zee-Pin Ding, Yoong-Kong Sin
1Department of Cardiology, National Heart Centre, Singapore. paul.chiam.t.l@nhc.com.sg
Background:
A 49-year-old female presented with worsening exertional dyspnea (NYHA class III) and orthopnea for several months. Previous medical history was significant for rheumatic mitral regurgitation and three previous mitral valve replacements (MVRs).
Investigation:
Transesophageal echocardiography (TEE) revealed severe mitral paravalvular leak (PVL with two jets visualised. Cardiac computed tomography angiography (CTA) revealed a larger PVL and a smaller defect.
Diagnosis:
Severe mitral paravalvular leak.
Treatment:
Transcatheter mitral paravalvular closure.
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