Cierre percutáneo de fuga paravalvular mitral

the development of mitral paravalvular leak (pvl) after mitral valve replacement is an uncommon complication with severe symptoms. the surgical repair of this condition has high morbidity and mortality; for this reason, several percutaneous techniques have been attempted with success rates between 60% and 90%. we describe the case of a young female patient with multiple mitral valve surgeries, who presented limiting dyspnea and hemolytic anemia. the pvl was closed using a specially designed amplatzer iii device under three-dimensional echocardiography. after 3 months of follow-up, the pvl remains completely excluded and the patient is asymptomatic.