Hybrid repair of mitral paravalvular leak: Open surgical placement of a percutaneous occluder device

Abstract

Paravalvular leak (PVL) is a rare but serious complication of mitral valve replacement. 1,2 Although PVLs have traditionally been repaired surgically, there has been a growing interest in the attempt to close PVLs through the use of percutaneous interventional techniques with occluder devices. Herein we report an innovative and multidisciplinary approach to the repair of a severe mitral PVL in a patient with aortic and mitral mechanical prostheses. Interventional techniques were not successful, and the intraoperative exposure of the anterolateral mitral PVL was extremely difficult because of the presence of the aortic prosthesis. To our knowledge, this is the first reported case of an open surgical placement of a percutaneous occluder device to repair a mitral paraprosthetic leak.