@article{2021-09-17,
author = {, , , },
title = {},
year = {2021},
doi = {10.1093/ehjcr/ytab190},
publisher = {NP «NEICON»},
abstract = {Background Catheter-based closure has emerged as a less invasive alternative to surgery in high-risk patients with paravalvular leak (PVL) and clinically significant regurgitation with feasibility and efficacy demonstrated in multiple studies.

Case summary A 72-year-old female with a past history of long-standing rheumatic heart disease underwent mechanical mitral valve replacement in 2008. Ten years later, redo surgery was performed due to a worsening mitral PVL and the leakage was closed by direct pledget-supported sutures, preserving the mechanical valve. She was recently admitted again for haemolytic anaemia and congestive heart failure (New York Heart Association Classes III-IV) due to a recurrent mitral PVL. We report our initial clinical experience using a novel software solution (EchoNavigator (R)-systern) for intuitive guidance during a catheter-based transapical mitral PVL closure.

Discussion Transapical mitral PVL closure with a specifically designed device demonstrated in our case to be a better option than redo surgery. Recently introduced fusion imaging modalities enhanced visualization of soft tissue anatomy and device location improving enormously the results of this challenging intervention.},
URL = {https://repo.bashgmu.ru/publication/1579},
eprint = {https://repo.bashgmu.ru/files/1750},
}