| Summary: | Sutureless valves were designed in an attempt to simplify the aortic valve replacement procedure and reduce extracorporeal circuit time, whilst allowing complete excision of the calcified native valve using a minimally invasive approach. Elderly patients with significant comorbidities are considered to benefit the most, although randomized data are lacking. In registries of patients treated with implantation of a 3f Enable sutureless bioprosthetic aortic valve, all patients who developed paravalvular leak have been treated with valve explantation. This is the first case report describing a tricky yet successful percutaneous paravalvular leak closure 2 years after implantation of a 3f Enable sutureless aortic bioprosthesis.
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