Ersel ONRAT, Turgay ÇELİK, Uygar Çağdaş YÜKSEL, Faruk CİNGÖZ, Emre YALÇINKAYA, Atila İYİSOY, Sait DEMİRKOL

Mitral paravalvular leak closure via minimal invasive transapical approach

Paravalvüler kaçak, kalp kapak replasmanı ameliyatı son- rasında morbiditeyi anlamlı düzeyde artırabilen sık görü- len bir komplikasyondur. Semptomatik hastalara genellikle kaçak tamiri cerrahisi yapılır. Paravalvüler kaçağı bulunan hastaların büyük çoğunluğunun cerrahi kapatma açısın- dan yüksek risk sınıfında bulunması nedeni ile perkütan kapama tercih edilen tedavi yöntemidir. Ancak, defekt anatomilerinin kompleks yapısı perkütan kapama işlemini zorlaştırmakta ve önemli düzeyde cerrahi deneyim gerek- tirmektedir. Çift mekanik protez bulunan hastalarda tek- nik zorluklar nedeni ile perkütan yolla ciddi mitral para- valvüler kaçak tamiri yapılamayabilir. Bu yazıda, minimal invaziv transapikal yaklaşımla mitral paravalvüler kaçak tamiri yapılan 49 yaşında bir erkek olgu sunuldu

Minimal invaziv transapikal yaklaşım ile mitral paravalvüler kaçak tamiri

Paravalvular leak is a common postoperative complication of cardiac valve replacement, leading to a significant morbidity. Leak closure surgery is usually performed in symptomatic patients. Since most patients with paravalvular leak have a high risk profile for surgical closure, percutaneous closure is the preferred treatment modality. However, complex anatomy of the defects may complicate percutaneous closure procedures, requiring substantial surgical expertise. It is unlikely to close severe mitral paravalvular leaks in patients with dual mechanical prostheses percutaneously due to technical difficulties. In this article, we report a 49-year-old male case with mitral paravalvular leak closure via transapical approach using minimal invasive surgery

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