Multimodality cardiac imaging for guidance of transapical transcatheter aortic valve implantation and mitral paravalvular leak closure

Abstract

A 65-year-old man with a history of mechanical mitral valve replacement was admitted to our hospital for severe haemolytic anaemia and dyspnoea. Admission transthoracic echocardiography demonstrated severe aortic regurgitation and two mitral paravalvular leaks (PVLs), accompanied with dilated cardiac chambers and mild ventricular systolic dysfunction. Due to high risk of operation, the patient underwent transapical transcatheter aortic valve implantation (TAVI) and mitral PVL closure.