Plug placement in percutaneous repair of paravalvular mitral prosthetic regurgitation

With the guide wire across the defect, a 16-mm vascular plug (arrow) is placed into the left ventricle and brought back to the site of paravalvular defect under fluoroscopic and echocardiographic guidance. LA indicates left atrium; LV, left ventricle; MP, multipurpose; TEE, transesophageal echocardiography.