Title

Hemodynamic guidance of mitral paravalvular leak closure: The V is the key.

Document Type

Article

Publication Date

11-1-2017

Publication Title

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

ISSN

1522-726X

Abstract

Severe mitral paravalvular leak (PVL) induces elevated mean left atrial (LA) pressure (LAP) and prominent V waves, leading to pulmonary hypertension and right heart failure PVL closure promptly reduces V wave and mean LAP, correlates with improved echo regurgitation grade, and exerts immediate benefit to the lungs and right heart Hemodynamic response patterns facilitate PVL closure.

Medical Subject Headings

Cardiac Catheterization; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation; Hemodynamics; Humans; Mitral Valve; Mitral Valve Insufficiency; Treatment Outcome

Volume

90

Issue

5

First Page

859

Last Page

860

PubMed ID

29105327

DOI

10.1002/ccd.27355

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