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Eur J Cardiothorac Surg 2003;23:1074-1075
© 2003 Elsevier Science NL

How-to-do-it

An alternative technique for non-infective paraprosthetic leakage repair

Cardiac Surgery Division, IRCCS Ospedale Maggiore di Milano, University of Milan, Milan, Italy

Received 19 December 2002; received in revised form 6 March 2003; accepted 11 March 2003.

^* Corresponding author. Tel.: +39-02-4808-0333; fax: +39-02-4808-0635
e-mail: amoneta{at}milanocuore.org

Severe paravalvular leak is generally a reason for the repetition of valve replacement surgery. On the contrary management of patients with mild and moderate defects is controversial. Long-term prognosis may be negatively affected if non-surgical strategy is adopted also in less symptomatic patients. The proposed technique of leak closure preserves the implanted prosthesis and may be useful in non-infective mild and moderate detachments. It may safely extend surgical treatment to less symptomatic patients suffering from this surgical complication.

Key Words: Cardiac surgery • Valve replacement • Paravalvular leak