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Transcatheter Closures for Fistula Tract and Paravalvular Leak after Mitral Valve Replacement and Tricuspid Annuloplasty

  • Om, Sang Yong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Gyung Min (Division of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Jin Yong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Yong Hoon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Sinwon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Young-Hak (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Song, Jae-Kwan (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2013.06.07
  • 심사 : 2013.09.25
  • 발행 : 2014.01.30

초록

Paravalvular leaks (PVLs) often occur after surgical valve replacement. Surgical reoperation has been the gold standard of therapy for PVLs, but it carries a higher operative risk and an increased incidence of re-leaks compared to the initial surgery. In high surgical risk patients with appropriate geometries, transcatheter closure of PVLs could be an alternative to redo-surgery. Here, we report a case of successful staged transcatheter closures of a fistula tract between the aorta and right atrium, and mitral PVLs after mitral valve replacement and tricuspid annuloplasty.

키워드

참고문헌

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