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This 74-year-old woman underwent percutaneous repair of a perivalvular leak of her St. Jude mechanical mitral prosthesis. A, Transesophageal echocardiography shows multiple regurgitant jets involving the prosthesis (a) and (b). B, Fluoroscopy showing multiple septal occluders deployed around the mitral prosthesis. LA, left atrium; LV, left ventricle.