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Updated: Jul 6, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Kissing Balloon Dilatation of a Transcatheter Mitral Valve Replacement Within an Extra-Large D-Shaped Annuloplasty
Harish Sharma1, Mohsin Z S Ullah2, Sagar N Doshi1
1Department of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom; Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Abstract:
Paravalvular leak (PVL) is a recognized complication of transcatheter mitral valve replacement when a circular transcatheter heart valve (THV) is implanted within a D-shaped annuloplasty ring. Here we present the use of a novel kissing balloon dilatation method to improve THV apposition within the annuloplasty ring and reduce PVL.
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