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Updated: May 22, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Mitral stenosis caused by an amplatzer occluder device used to treat a paravalvular leak
Jamie L W Kennedy1, Carlos M Mery, John A Kern
1Division of Cardiology, University of Virginia Health System, Charlottesville, Virginia 22908, USA. jlk4b@virginia.edu
Abstract:
Paravalvular leaks following valve replacement can result in heart failure and hemolysis. Surgical intervention is the treatment of choice, but it carries substantial risk of morbidity and mortality. Percutaneous techniques using devices designed for congenital heart disease are increasingly applied to the treatment of paravalvular leaks. We present the case of a mitral paravalvular leak treated with an Amplatzer occluder device. Unfortunately, the device occluded flow through the mitral valve, resulting in symptomatic mitral stenosis requiring surgical intervention.
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