Mitral Paravalvular Leak Closure Via Left Anterolateral Thoracotomy

Authors

Farah Aboufakhr, Corewell Health East Resident
Jose Navas-Blanco, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-11-2025

Abstract

An 81-year-old female with a history of rheumatic heart disease and prior mitral and aortic valve replacements presented with fatigue and exertional dyspnea. TEE revealed severe paravalvular leak (PVL). Attempts to advance occluder devices via a transseptal approach were unsuccessful, leading to worsening PVL and reduced LVEF. Given her age and comorbidities, she was not a candidate for redo valve surgery. PVL closure was performed using a combined transseptal and transapical approach, facilitated by a small anterolateral thoracotomy. This discussion will outline the risks and anesthetic considerations associated with this complex approach.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Aboufakhr F, Navas-Blanco J. Mitral paravalvular leak closure via left anterolateral thoracotomy. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 11; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8460