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Updated: May 12, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Mitral paravalvular leak closure by antegrade percutaneous approach: three-dimensional transesophageal
Giuseppe Tarantini1, Marco Mojoli, Massimo Napodano
1Department of Cardiac, Thoracic and Vascular Sciences, Policlinico Universitario, Padua, Italy.
Abstract:
We describe the technical aspects and the possible advantages of a modified anchoring-based technique for the implantation of multiple Amplatzer devices, in a case of large anteroseptal mitral paravalvular leak causing massive regurgitation, which was manaed by antegrade transseptal, single-stage, percutaneous approach. Real-time three-dimensional transesophageal echocardiographic guidance was crucial to ensure successful recrossings of the target defect and the optimal anatomical closure.
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