Paravalvular Leak Closure Using Transapical Approach at Holy Cross Hospital, Fort Lauderdale, FL
For the first time in Florida, paravalvular leak (PVL) closure was performed by Holy Cross Hospital physicians in Fort Lauderdale, FL using a transapical approach, which is a minimally invasive option for patients who are not suitable for open heart surgery. One of our patients recently came to Holy Cross Hospital for a second opinion after having multiple failed mitral valve surgeries at another facility. Her previous surgeries resulted in complications, one of which was a paravalvular leak (PVL) - blood escaping from around the valve which can cause anemia or congestive heart failure and may be life threatening. Due to the complexities of her condition, she was ineligible for open heart surgery.
Fortunately, the Holy Cross team of physicians at the Jim Moran Heart and Vascular Center in Fort Lauderdale were able to use the hybrid cardiac repair - the transapical approach - to perform the PVL closure. The procedure involved gaining access to the heart through an incision made between the ribs, which enabled the placement of a sheath that acted as an access port for the physicians to utilize guidewires and catheter techniques to deliver a device to close the PVL. Once the closure was confirmed, the sheath was removed and the incision surgically closed.