The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for structural heart disease

Device embolisation after transcatheter paravalvular leak closure

EuroIntervention 2015;11:e1-e2 published online e-article June 2015. DOI: 10.4244/EIJV11I2A43

Department of Cardiology, Institute of Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Salamanca, Spain
An Amplatzer Vascular Plug III 14×5 mm (St. Jude Medical, St. Paul, MN, USA) device was deployed in a 65-year-old man with severe mitral paravalvular regurgitation. The distal disc of the device was deployed inside the paravalvular leak tunnel between the left ventricle and left atrium to prevent interference with the monodisc prosthesis (Appendix Figure 1). At three-month transoesophageal echocardiography (TEE) mild mitral regurgitation was observed, the atrial disc of the device seemed not to be totally apposed to the leak and it was protruding into the left atrium (Figure 1, Moving image 1). At six-month TEE a moderate regurgitation was observed because both ...

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