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TEE-Guided Mitral Valve Leak Closure With Supra-Annular Atrially Placed Bioprosthesis

Video Supplement to “First Report of Supra-Annular Atrially Placed Bioprosthetic Mitral Valve Leak Closure Through Percutaneous Approach" [October 2019 Clinical Images article by Zgheib, et al].

An 81-year-old man underwent mitral valve replacement in 2015 for severe calcific mitral stenosis with multiple subsequent hospitalizations for pulmonary edema. TEE in 2019 revealed severe paravalvular regurgitation. The following TEE video series illustrates the patient’s treatment course. This is the first reported case of suprannular atrially placed mitral paravalvular leak closure.


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