A tricky percutaneous paravalvular leak closure two years after implantation of 3f enable sutureless bioprosthetic aortic valve

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.