Repair of prosthetic mitral valve paravalvular leak using an off-pump transapical approach

Vinod H Thourani; Colleen M Smith; Robert A Guyton; Peter Block; David Liff; Patrick Willis; Stamatios Lerakis; Chesnal D Arepalli; Sharon Howell; Bryon J Boulton; James Stewart; Vasilis Babaliaros

doi:10.1016/j.athoracsur.2011.12.035

Repair of prosthetic mitral valve paravalvular leak using an off-pump transapical approach

Ann Thorac Surg. 2012 Jul;94(1):275-8. doi: 10.1016/j.athoracsur.2011.12.035.

Authors

Vinod H Thourani¹, Colleen M Smith, Robert A Guyton, Peter Block, David Liff, Patrick Willis, Stamatios Lerakis, Chesnal D Arepalli, Sharon Howell, Bryon J Boulton, James Stewart, Vasilis Babaliaros

Affiliation

¹ Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA. [email protected]

PMID: 22734994
DOI: 10.1016/j.athoracsur.2011.12.035

Abstract

Patients who present with significant paravalvular regurgitation after mitral valve replacement remain a difficult patient population and high-risk surgical candidates. We present 3 cases of transapical closure of mitral valve paravalvular leak (PVL) after mitral valve replacement using Amplatzer closure devices (AGA Medical Corp, Plymouth, MN). All 3 patients experienced decreased regurgitation at the site of the closure as well as symptomatic improvement in their heart failure.

Publication types

Case Reports

MeSH terms

Echocardiography, Transesophageal
Female
Heart Valve Prosthesis Implantation / adverse effects*
Humans
Male
Middle Aged
Mitral Valve / surgery*
Mitral Valve Insufficiency / surgery