fig3

Figure 3. Picture of paravalvular leak (PVL) closure of a mechanical bileaflet On-X valve at 0800 with vascular plug amplatzer device. Left upper panel shows placement of the guidewire in the PVL, right upper the PVL at 0800 in systolic surgical view. Left lower end panel of procedure with amplatzer device in PVL and right lower no PVL left in color Doppler 3D systolic frame