Mitral Periprosthetic Leak

A mitral periprosthetic leak, or mitral periprosthetic regurgitation, is a condition in which the replacement valve between the upper and lower chamber of the left side of the heart (mitral valve) leaks severely, leading to shortness of breath, difficulty breathing, and swelling of the feet. These leaks are basically gaps, or defects, that typically form as a result of calcium buildup, suture rupture, or infection. Using special catheters and plugs, physicians are able to go into the heart through blood vessels in the groin, cross the gap, and seal it using appropriately sized vascular plugs, using a minimally invasive method called mitral periprosthetic leak procedure.

Mitral periprosthetic leak procedure is a treatment for mitral periprosthetic regurgitation, a condition in which the replacement valve between the upper and lower chamber of the left side of the heart (mitral valve) leaks severely, leading to shortness of breath, difficulty breathing, and swelling of the feet, all of which are symptoms of heart failure. Using this procedure, specialists are able to seal periprosthetic leaks in the prosthetic heart valve. These leaks are basically gaps, or defects, that typically form as a result of calcium buildup, suture rupture, or infection. Using special catheters and plugs, physicians are able to go into the heart through blood vessels in the groin, cross the gap, and seal it using appropriately sized vascular plugs.

The UAB Structural Heart & Valve Program is the oldest and largest program of its kind in Alabama. It provides ongoing care – sometimes for life – to patients who have or are at risk for structural heart and valve disease. Our experienced surgeons and cardiologists take a comprehensive approach to diagnosing and treating this condition, and their expertise ranges from traditional open-heart surgery to robotic-assisted valve repair and the latest in minimally invasive surgical techniques, which require only small incisions (cuts).

The UAB Structural Heart & Valve Clinic has achieved several important milestones in the past decade. In 2012, we performed the first transcatheter aortic valve replacement (TAVR) in Alabama, and UAB has performed more TAVR procedures than any other hospital in the state. As an added service, patients who have been told by non-UAB doctors that they need valve surgery can speak to a UAB structural heart and valve surgeon for a second opinion.

Videos

  • Louise Calhoun | Paravalvular Periprosthetic Leak Repair
    Louise Calhoun | Paravalvular Periprosthetic Leak Repair
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  • James Davies, M.D. | Heart Valve Disease
    Heart Valve Disease
    The heart has four valves that are responsible for keeping blood moving through its chambers and around the body. James Davies, MD, a cardiothoracic surgeon at UAB, talks to Daytime Alabama on WVTM-TV, Channel 13, in Birmingham, Ala., about how valve disease can be prevented, detected, and treated.
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  • Sarah Ford | Heart surgery at UAB
    Sarah’s Heart
    When Sarah Ford found out she needed heart surgery, she made the drive from her home in Dothan to Birmingham to receive treatment at UAB. The experienced surgeons, compassionate staff, and cutting-edge care at UAB made her feel secure and safe.
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  • Meet the Team: Kyle Eudailey, MD
    Meet the Team: Kyle Eudailey, MD
    Dr. Eudailey specializes in adult cardiac surgery, including aortic surgery and transcatheter treatment of valve disease. He is grateful for the opportunity to help patients improve their quality of life.
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