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Mitral Perivalvular LeakMitral Perivalvular Leak
Luft MDLuft MD
Feehan DOFeehan DO
Mv perivalvular leak
Systole Diastole
Hole
Transseptal puncture and LA injection
Left Atrium
Crossing leak with stiff glidewire (LAO projection)
Advancement of LIMA catheter into LV in RAO Projection
Ventriculogram to prove location
Tug Test With Deployed Device
Systole
Diastole
Valve Leaflets
RAO to evaluate mechanical valve function
LAO projection with no impingement on mechanical valve
Left ventriculogram (beat 3) with trace MR
DEVICE
Trace MR through the valve
with no perivalvular MR by TEE

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