Mitral Valve Complications: Leakage Dilemmas in TMVR/Repair – A Case of Paravalvular Peril
Presenter
Chet S. Rihal, M.D., MSCAI, Mayo Clinic, Rochester, MN
Chet S. Rihal, M.D., MSCAI, Mayo Clinic, Rochester, MN
Learning Objectives:
- Review a case of paravalvular leak post-mitral intervention to highlight contributing factors like annular calcification and device mismatch, with emphasis on echocardiographic detection.
- Analyze management options in the case, such as percutaneous plug deployment or redo procedures, and evaluate hemodynamic consequences like heart failure exacerbation.
- Identify case-derived strategies for prevention, including optimal sizing techniques and post-dilation protocols to enhance seal integrity and procedural success.