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Updated: Jun 4, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Simultaneous aortic and mitral metallic paravalvular leaks repaired through one delivery sheath
Claudia A Martinez1, Howard Cohen, Carlos E Ruiz
1Lenox Hill Heart and Vascular Institute, 130 East 77th Street, 9th Floor Black Hall, New York, NY 10021-10075, USA.
The Journal of Invasive Cardiology
|February 8, 2011
Summary
Paravalvular leaks (PVL) after valve surgery can now be repaired non-surgically. A novel technique simultaneously treats multiple PVLs using a single transcatheter system.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Paravalvular leaks (PVL) are a known complication following prosthetic heart valve replacement surgery.
- Current non-surgical repair options often involve off-label use of transcatheter occlusive devices, with no single technique universally applicable.
Observation:
- A patient with a double mechanical prosthesis presented with multiple paravalvular leaks.
- Specific anatomical factors of the patient were leveraged.
- Appropriate transcatheter occlusive devices were selected for the repair.
Findings:
- A novel percutaneous technique was successfully employed to simultaneously repair multiple paravalvular leaks.
- A single delivery system was utilized for the deployment of multiple devices.
- The procedure was technically feasible and addressed the complex PVL scenario.
Implications:
- This approach offers a potential solution for complex, multi-site paravalvular leaks not amenable to standard treatments.
- Simultaneous percutaneous repair of multiple PVLs may improve patient outcomes and reduce the need for reoperation.
- Further research into this technique could refine non-surgical management of prosthetic valve complications.
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