Percutaneous Closure of Paravalvular Leak from a Rocking Mitral Valve in a 74-Year-Old Man at High Surgical Risk

• Authors: Frank Corrigan III, Emory University; Jose Miguel Iturbe, Emory University; Stamatios Lerakis, Emory University; Norihiko Kamioka, Emory University; Vasilis Babaliaros, Emory University; Stephen Clements Jr., Emory University
• Journal Title: Texas Heart Institute Journal
• Volume: Volume 47, Number 2
• Publisher: Texas Heart Institute | 2020-04-01, Pages 160-162
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.14503/THIJ-18-6626
• Keywords: Science & Technology; Life Sciences & Biomedicine; Cardiac & Cardiovascular Systems; Cardiovascular System & Cardiology; Aged; cardiac catheterization/instrumentation/methods; heart valve prosthesis implantation/adverse effects; mitral valve insufficiency/diagnostic imaging/etiology; percutaneous coronary intervention/methods; prosthesis failure; risk factors; treatment outcome; Regurgitation

Abstract

Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.