Repeat Mitral Valve Replacement: 30-Years’ Experience

Clinical Outcomes in Patients Undergoing Percutaneous Closure of Periprosthetic Paravalvular Leaks

“…Surgical closure of paravalvular leaks remains the most common therapy for these defects; however, re-do surgery has some limitations, depending on the number of patient comorbidities, including a high recurrence rate (7) as well as high morbidity and mortality rates (7)(8)(9). Furthermore, mortality increases progressively with the number of reoperations: 13% after the first, 15% after the second, and 37% after the third (9).…”

Percutaneous transcatheter closure of a mitral paravalvular leak via anterograde approach without arteriovenous loop in a patient with double valve replacement

“…1 In addition, there is an increased recurrence of leaks. 5 Percutaneous transcatheter closure of PVLs was described first in 1992 using a double-umbrella device (Rashkind device). 6 The technique has slowly evolved over the following years, as an attractive alternative to redo-surgery in patients with appropriately suitable defects.…”

Mitral and Aortic Valve Prosthetic Endocarditis After Percutaneous Closure of Mitral Paravalvular Leak

“…Recently published experience about reoperation on aortic and mitral valve prostheses reported in-hospital mortality of 5% and 8%, respectively [1,6]. Annular involvement seems to be a risk factor for recurrence of paravalvular regurgitation and is more important than prosthesis degeneration in determining early and late outcomes.…”