Dehiscence of a prosthetic heart valve or excessive rocking during the cardiac cycle is thought to preclude percutaneous paravalvular leak closure. However, surgical repair of paravalvular leak is associated with recurrent dehiscence and poor outcomes. We present the case of a symptomatic 74-year-old man in whom we performed percutaneous anchoring, involving multiple plugs and multimodal imaging, to stabilize a rocking mitral valve and close a substantial paravalvular leak caused by dehiscence. To our knowledge, using this technique to correct both conditions is novel.

中文翻译：

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一名 74 岁高手术风险男性患者的二尖瓣摆动引起的瓣周漏经皮封堵术。

人工心脏瓣膜的裂开或心动周期中的过度摇摆被认为会妨碍经皮瓣周漏闭合。然而，瓣周漏的手术修复与复发性裂开和不良结果有关。我们介绍了一个有症状的 74 岁男性的案例，我们对他进行了经皮锚固，涉及多个栓塞和多模态成像，以稳定摇摆的二尖瓣并关闭由裂开引起的大量瓣周漏。据我们所知，使用这种技术来纠正这两种情况是新颖的。