CTICasesEmbolized Amplatzer Vascular Plugs Causing Claudication
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Imaging findings
A vascular runoff study of the lower extremities shows metallic structures spanning the bifurcation of the profunda and SFA, and the external and internal iliac arteries. A prior non-contrast CT shows a mechanical mitral valve with abnormal seating and a paravalvular leak, with an Amplatzer vascular plug attempting to seal it.
Key takeaways
Vascular plugs used for paravalvular leaks can embolize, causing complications like claudication. In this case, two embolized plugs from a revised mitral valve procedure were the cause of the patient's symptoms and required surgical removal.
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