OUTCOME AND FOLLOW-UP
After a discussion in the structural heart meeting, a decision was
subsequently made to proceed with percutaneous closure of the aortic
paravalvular leak/fistula arising from the aortic root and left atrium.
Successful percutaneous closure of the fistulous tract from the aortic
root to the left atrium was achieved. In post-procedure
echocardiography, successful aorto-atrial fistula closure was noted with
no residual flow into the left atrium and a significant reduction of the
associated paravalvular leak.