Embolization of Two Occluder Devices Following Device Closure of Acute Postoperative Mitral Paravalvular Leak

Abstract

A 36-year-old male underwent mitral valve replacement with a single leaflet mechanical prosthesis for rheumatic chronic severe mitral regurgitation associated with cardiac cachexia, chronic atrial fibrillation, and severe pulmonary hypertension. His postoperative period was complicated by uncontrolled heart failure, recurrent refractory pericardial and pleural effusions, warranting creation of surgical pleuro pericardial window through a left anterolateral thoracotomy. A mild mitral paravalvular leak adjacent to the left atrial