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.