Severe Mitral Paravalvular Leak Treated with Percutaneous Paravalvular Leak Closure with Underlying Severe Mitral Annular Calcium

Am J Cardiol. 2021 Aug 1:152:165-167. doi: 10.1016/j.amjcard.2021.04.043. Epub 2021 Jun 20.

Abstract

Standard operative mitral valve replacement for mitral stenosis in the setting of severe mitral annular calcium has been associated with increased morbidity and mortality. Inability to ensure a well seated prosthesis may lead to periprosthetic leak. We present a case of severe paravalvular leak, causing significant hemolysis, after mitral valve replacement with underling severe mitral annular calcium. The leak was successfully repaired using a transseptal percutaneous approach, with subsequent resolution of hemolysis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / surgery
  • Bioprosthesis
  • Calcinosis / complications
  • Calcinosis / surgery*
  • Cardiac Catheterization / methods*
  • Echocardiography, Transesophageal
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation*
  • Hemolysis
  • Humans
  • Male
  • Mitral Valve / surgery
  • Mitral Valve Stenosis / etiology
  • Mitral Valve Stenosis / surgery*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Prosthesis Failure
  • Reoperation