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Percutaneous Valvular Leak Repair

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Abstract

Percutaneous closure of paravalvular leaks has been reported in patients who are poor operative candidates. Transesophageal echocardiography (TEE) currently plays an important role in procedures of this kind. TEE provides essential information regarding the characteristics of the dehiscence, periprosthetic regurgitation severity, during the intervention, procedure-related complications, immediate result of the procedure, and long-term follow-up. Also, three-dimensional TEE enables us to determine the location and number of the leaks, its shape, length, width, area, and extent, and would improve the ascertainment of the causes underlying failure of these techniques to reduce regurgitation secondary to the defect. All of this information could improve patient selection and results of this procedure in the future.

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Authors and Affiliations

  1. Departamento de Medicina I, Facultad de Medicina de la Universidad Complutense, Ciudad Universitaria, Ramon y Cajal s/n, 28040, Madrid, Spain

    Miguel Angel García-Fernandez

  2. Department of Cardiology, Fundacion Jimenez Diaz, Madrid, Spain

    Marcelino Cortés

  3. Department of Cardiology, Hospital Clinico San Carlos, Madrid, Spain

    Eulogio García

Authors
  1. Miguel Angel García-Fernandez
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  2. Marcelino Cortés
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  3. Eulogio García
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Correspondence to Miguel Angel García-Fernandez.

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García-Fernandez, M.A., Cortés, M. & García, E. Percutaneous Valvular Leak Repair. Curr Cardiovasc Imaging Rep 3, 258–267 (2010). https://doi.org/10.1007/s12410-010-9034-8

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