ABC | Volume 110, Nº3, March 2018

Image Ruivo et al Percutaneous closure of a paravalvular leak Arq Bras Cardiol. 2018; 110(3):295-296 This is an open-access article distributed under the terms of the Creative Commons Attribution License Figure 1 – Panel A: 2D peri-processual transesophageal echocardiography (TEE) shows paravalvular regurgitation (yellow arrow) between left ventricle and left atrial appendage; Panel B: Defect 3D TEE with diameter measurement; Panel C: 3D TEE guiding the guidewire through the defect; Panel D: 3D TEE showing the device (asterisk) through the defect; Panel E: left coronary angiography without vascular involvement after occlusal implant (yellow arrow); Panel F: Light residual flux detected after device deployment (asterisk). 296