Perivalvular leak. Structural heart disease. Vascular plug. Interventional cardiology. Mechanical prosthesis. Mitral regurgitation.

1. Mitral Perivalvular LeakMitral Perivalvular Leak
Luft MDLuft MD
Feehan DOFeehan DO

3. Systole Diastole

4. Hole

5. Transseptal puncture and LA injection
Left Atrium

6. Crossing leak with stiff glidewire (LAO projection)

7. Advancement of LIMA catheter into LV in RAO Projection

8. Ventriculogram to prove location

9. “Tug Test” With Deployed Device

10. Systole
Diastole
Valve Leaflets
RAO to evaluate mechanical valve function

11. LAO projection with no impingement on mechanical valve

12. Left ventriculogram (beat 3) with trace MR

13. DEVICE

14. Trace MR through the valve
with no perivalvular MR by TEE