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Late embolization of a vascular plug III device after mitral paravalvular leak closure
Author(s) -
Arzamendi Dabit,
Li Chi Hion,
Serra Antoni
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25039
Subject(s) - medicine , embolization , leak , percutaneous , surgery , regurgitation (circulation) , cardiology , transesophageal echocardiogram , heart failure , mitral valve replacement , femoral artery , mitral regurgitation , mitral valve , radiology , environmental engineering , engineering
We present a case report of an 80‐year‐old frail woman with hemolytic anemia and cardiac failure secondary to mitral severe paravalvular regurgitation. Her clinical history was significant for mitral valve replacement that was complicated with a paravalvular leak two months after surgery. The leak was closed percutaneously with an Amplatzer Vascular Plug III single device. A year later she is readmitted with heart failure and the transesophageal echocardiogram revealed a severe paravalvular leak beside the Vascular Plug III device that seemed to be dislodged and rocking. During a new attempt of percutaneous leak closure, while trying to lasso the old device, it embolized to the iliac bifurcation. The old device could be removed from the right femoral artery and the leak could be closed with two new Vascular Plug III devices deployed simultaneously. To our knowledge this is the first reported case of a late embolization of a Vascular Plug III device. © 2013 Wiley Periodicals, Inc.