Paravalvular leak (PVL), a serious complication of valve surgery, can be treated with percutanous techniques. In this article we present a case in which successful mitral PVL closure performed via transapical approach.

Cardiac 3-dimensional printing for pre-procedural planning of structural heart procedures is a promising new tool. Despite current potential drawbacks, 3-dimensional models can help cardiologists better understand and treat complex cardiac defects. We describe a successful coronary cameral fistula closure planned with the aid of a 3-dimensional model. ( Level of Difficulty: Advanced. )