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Updated: May 2, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
[How I deal with this unusual paravalvular leak]
B Gérardin1, S Hascoët1, J N Andarelli1
1Hôpital Marie Lannelongue. 133 avenue de la Résistance, 92350 Le Plessis-Robinson, France.
Percutaneous para-prosthetic valve leak closure (PVLc) offers an alternative to repeat surgery for these complications. This case study details the diagnosis, treatment choices, and techniques for an unusual aortic PVL, reviewing outcomes and potential issues.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Para-prosthetic valve leaks (PVL) are a known complication after valve replacement surgery.
- Redo surgery for PVL carries significant risks.
- Percutaneous treatment offers a less invasive alternative.
Purpose of the Study:
- To present a clinical case of an unusual aortic para-prosthetic leak closure (PVLc).
- To highlight diagnostic challenges associated with PVL.
- To review therapeutic options, technical aspects, and outcomes of PVLc.
Main Methods:
- Case report of a patient with an unusual aortic PVL.
- Detailed description of diagnostic workup for PVL.
- Explanation of percutaneous closure techniques and device selection.
- Review of existing literature on PVLc outcomes and complications.
Main Results:
- Successful percutaneous closure of an unusual aortic PVL was achieved.
- Diagnostic difficulties in identifying the PVL were encountered.
- The review of literature provides insights into the efficacy and safety of PVLc.
Conclusions:
- Percutaneous PVLc is a viable option for managing para-prosthetic valve leaks.
- Careful diagnosis and patient selection are crucial for successful PVLc.
- Further research is needed to fully establish the long-term outcomes and optimal strategies for PVLc.
Related Concept Videos
Mitral Valve Prolapse I: Introduction
Mitral Regurgitation I: Introduction
Mitral Regurgitation III: Medical Management
Mitral Regurgitation IV: Nursing Management
Aortic Regurgitation I: Introduction
Aortic Regurgitation III: Medical Management

