Comprehensive management of paravalvular mitral valve leakage through a transapical approach: a case study.

Paravalvular leaks (PVL) following mitral valve replacement occur in 7% to 17% of cases, with 1% to 5% being clinically significant. Although surgical repair is often recommended, transcatheter PVL closures have shown positive outcomes with fewer complications. This case report discusses a patient with a severe paravalvular leak after aortic and mitral valve replacement treated via a transapical approach, evaluating outcomes and potential complications.