Document Detail

Percutaneous closure of mitral paravalvular leak via retrograde approach: with use of the Amplatzer duct occluder II and without a wire loop.
MedLine Citation:
PMID:  20844623     Owner:  NLM     Status:  MEDLINE    
The gold-standard treatment for prosthetic-valve paravalvular leakage is surgery to repair or replace the valve; however, the morbidity and mortality rates cannot be ignored, and some patients are poor surgical candidates. The percutaneous closure of such defects is possible, and different devices are being used for this purpose. In almost all instances, a femorofemoral or femorojugular wire loop is constructed to deliver the closure device. Herein, we present the case of a 61-year-old man in whom a mitral paravalvular leak was successfully closed with use of the Amplatzer Duct Occluder II, via retrograde approach under 3-dimensional transesophageal echocardiographic guidance, without the use of a wire loop. To the best of our knowledge, this is the 1st report of retrograde device deployment without the construction of an arteriovenous wire loop, and the 1st case in which the Amplatzer Duct Occluder II was used for the percutaneous closure of a mitral paravalvular leak.
Hurkan Kursaklioglu; Cem Barcin; Atilla Iyisoy; Oben Baysan; Turgay Celik; Sedat Kose
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  37     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-16     Completed Date:  2011-01-13     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  461-4     Citation Subset:  IM    
Department of Cardiology, Gulhane Military Medical Academy, 06018 Ankara, Turkey.
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MeSH Terms
Cardiac Catheterization / instrumentation*
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / adverse effects,  instrumentation*
Middle Aged
Mitral Valve / surgery*,  ultrasonography
Mitral Valve Insufficiency / etiology,  therapy*,  ultrasonography
Prosthesis Failure*
Radiography, Interventional
Septal Occluder Device*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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