We present a unique case of a paravalvular leak through a periannular channel around a bioprosthetic mitral valve. The role of multimodality imaging, in addition to novel technology, helped uncover the complex course of the jet, including its origin and direction, which translated into excellent procedural success. (Level of Difficulty: Advanced.).
Keywords: 2D, 2-dimensional; 3D; 3D, 3-dimensional; AVP II, Amplatzer Vascular Plug II; CT, computed tomography; PVL, paravalvular leak; TEE, transesophageal echocardiogram; channel; echocardiography; mitral regurgitation; paravalvular leak; percutaneous closure.
© 2022 Published by Elsevier on behalf of the American College of Cardiology Foundation.