3D TEE for Paravalvular Leaks: A Beautiful “Leakfront” View

Rainer Hoffmann, MD

Paravalvular leak is a frightening difficulty after surgical valve replacement. Interventional closure of paravalvular leaks has become a treatment alternative to redo surgery. However, guidance of the interventional procedure is difficult due to the complex spatial pathology to be treated. Three-dimensional transesophageal  echocardiography (3D TEE) provides outstanding spatial information of complex cardiac morphologies. We report on the use of 3D TEE for guidance of interventional closure of a paravalvular leak. While our study indicates an exciting new approach for interventional guidance of paravalvular leak closure, larger studies are required.

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