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Journals / The Anatolian Journal of Cardiology / 2020 / Cilt: 24 - Sayı: 6

A comprehensive review of the diagnosis and managementof mitral paravalvular leakage

Mustafa Ozan GÜRSOY
Ahmet GÜNER
MACİT KALÇIK
Emrah BAYAM
Mehmet ÖZKAN
Pages
350–360
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, this paper summarizes the etiopathogenesis, clinical characteristics, diagnosis, and treatment of mitral PVLs. (Anatol J Cardiol 2020; 24: 350-60)

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Mitral paravalvular leaks (PVLs) commonly occur in patients with prosthetic valves.
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Key Findings & Data:In the near future, the success of interventional therapies will most probably increase in patients with mitral PVLs with the introduction of hybrid imag-ing modalities (echocardiography, cardiac computed tomography, and fluoroscopy).
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Conclusion & Impact:In conclusion, this paper summarizes the etiopathogenesis, clinical characteristics, diagnosis, and treatment of mitral PVLs. (Anatol J Cardiol 2020; 24: 350-60)
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:Domain Parameters

Özet

Mitral paravalvular leaks (PVLs) commonly occur in patients with prosthetic valves. Paravalvular defects may be clinically inconsequential and may aggravate hemolysis or cause heart failure through regurgitation. Accordingly, patients may eventually require intervention such as redo surgery or a transcatheter closure of the defects. The introduction of purpose-specific closure devices and new steerable catheters has opened a new frontier for the transcatheter PVL closure. This mode of treatment is an initial therapy in most centers with experienced structural heart team. However, head-to-head data comparing two treatment modalities (surgery and transcatheter closure) are limited, and the world-wide ex-perience is based on nonrandomized studies. Multimodality imaging, including three-dimensional transesophageal echocardiography, facilitates the delineation of mitral PVLs and provides essential data that aids the communication between the members of the structural heart team. In the near future, the success of interventional therapies will most probably increase in patients with mitral PVLs with the introduction of hybrid imag-ing modalities (echocardiography, cardiac computed tomography, and fluoroscopy). In conclusion, this paper summarizes the etiopathogenesis, clinical characteristics, diagnosis, and treatment of mitral PVLs. (Anatol J Cardiol 2020; 24: 350-60)

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Cite This Article

GÜRSOY, M. O., GÜNER, A., KALÇIK, M., BAYAM, E., ÖZKAN, M. (2020). A comprehensive review of the diagnosis and managementof mitral paravalvular leakage. The Anatolian Journal of Cardiology, Cilt: 24 - Sayı: 6, 350–360. https://ajindex.com/articles/365213

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