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Transcatheter closure through transapical access for mitral paravalvular leak after previous trans-septal mitral operation

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A Letter to the Editor to this article was published on 27 May 2016

Abstract

Because paravalvular leak after mitral valve replacement in highly morbid patients is a troublesome issue, there has been a growing interest in less invasive procedures. We conducted transcatheter paravalvular leak closure of a mitral valve prosthesis through left ventricular apical access. The patient had undergone redo mitral valve replacement through a transatrial septal approach 2 months prior to the procedure; thus, penetration of the atrial septum was considered to be difficult through the ordinary antegrade trans-septal approach. Transapical access for the mitral paravalvular leak was conducted using two AMPLATZER Vascular Plugs (St. Jude Medical, St. Paul, MN), with a route directed straight to the defect. This approach is an alternative technique for transcatheter paravalvular leak closure. This is the first case report of transapical access for transcatheter paravalvular leak closure in Japan.

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References

  1. Rihal CS, Sorajja P, Booker JD, Hagler DJ, Cabalka AK. Principles of percutaneous paravalvular leak closure. JACC Cardiovasc Interv. 2012;5:121–30.

    Article  PubMed  Google Scholar 

  2. Masuda M, Kuwano H, Okumura M, Arai H, Endo S, Doki Y, et al. Thoracic and cardiovascular surgery in Japan during 2013. Annual report by the Japanese association for thoracic surgery. Gen Thorac Cardiovasc Surg. 2015;63(12):670–701.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP III, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American heart association task force on practice guidelines. Circulation. 2014;129:2440–92.

    Article  PubMed  Google Scholar 

  4. Nietlispach F, Johnson M, Moss RR, Gurvitch R, Wejiesinghe N, Tay EL, et al. Transcatheter closure of paravalvular defects using a purpose-specific occlude. JACC Cardiovasc Interv. 2010;3:759–65.

    Article  PubMed  Google Scholar 

  5. Hara H, Matsumoto Y, Matsumoto T, Kar S, Hashimoto G, Arai T, et al. Percutaneous antegrade mitral paravalvular leak closure through porcelain atrial septum—first percutaneous paravalvular leak closure in Japan. Circ J. 2015;79:894–5.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan

    Takashi Murakami, Yasuo Suehiro, Shinsuke Nishimura & Toshihiko Shibata

  2. Department of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan

    Kenichi Sugioka, Shinichi Iwata, Asahiro Ito, Kazuki Mizutani & Minoru Yoshiyama

  3. Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan

    Etsuji Sohgawa

Authors
  1. Takashi Murakami
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  2. Yasuo Suehiro
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  3. Shinsuke Nishimura
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  4. Kenichi Sugioka
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  5. Shinichi Iwata
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  6. Asahiro Ito
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  7. Etsuji Sohgawa
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  8. Kazuki Mizutani
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  9. Minoru Yoshiyama
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  10. Toshihiko Shibata
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Corresponding author

Correspondence to Takashi Murakami.

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Conflict of interest

Takashi Murakami, Yasuo Suehiro, Shinsuke Nishimura, Kenichi Sugioka, Shinichi Iwata, Asahiro Ito, Etsuji Sohgawa, Kazuki Mizutani, Minoru Yoshiyama, and Toshihiko Shibata have no conflicts of interest.

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Murakami, T., Suehiro, Y., Nishimura, S. et al. Transcatheter closure through transapical access for mitral paravalvular leak after previous trans-septal mitral operation. Gen Thorac Cardiovasc Surg 65, 289–292 (2017). https://doi.org/10.1007/s11748-016-0644-1

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  • DOI: https://doi.org/10.1007/s11748-016-0644-1

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