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Updated: May 7, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Transapical closure of mitral prosthetic paravalvular leak
Konstantinos Spargias1, Aphrodite Tzifa, Michael Chrissoheris
1Department of Transcatheter Heart Valves, Hygeia Hospital, Athens, Greece.
Abstract:
Clinically significant mitral prosthetic paravalvular leaks may occur in up to 5% of patients following surgical mitral valve replacement. Successful closure may offer relief from symptoms of heart failure and hemolysis, but surgical closure is associated with increased morbidity and mortality. Alternative transcatheter closure techniques are being developed. We present a patient who was successfully treated via a transapical approach with deployment of an amplatzer duct occluder type I closure device under real-time two-dimensional transesophageal echocardiography.
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