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Updated: Jun 5, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
A direct suture repair for a paravalvular leak 23 years after the second mitral valve replacements: A case report
Tomonobu Abe1, Toshiaki Ito, Tomo Yoshizumi
1Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, Nagoya, Japan.
Abstract:
A 59-year-old male was referred for surgery resulting from a paravalvular leak at the mitral position. The patient underwent his first mitral valve replacement with a Bjork-Shiley valve 33 years before this situation arose. He underwent his second mitral valve replacement with a St. Jude Medical mechanical prosthesis for valve thrombosis 10 years later. Serial echocardiography had always shown good results until this time; thus the leak suddenly occurred 23 years after his second mitral valve replacement without any preceding signs. At surgery, a small fistula was observed. The paravalvular leak was successfully repaired by a direct suture repair. Although his postoperative course was complicated by a deep sternal infection, he has fully recovered and currently is in the New York Heart Association class 1 three years after the surgery.
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