During the COVID 19 storm some procedures are still mandatory. Paravalvar leak closure #PVL. 33 year old Marfan patient, two prior operations, bileaflet metallic Mitral valve defect in the A1 region,(10-11 o’clock). Three AVP III plugs were required to cover the defect. Nice result, rapid discharge. #valve #cardiology #medicaldevices #interventionalcardiology Ilias Ninios Asimaki Maria Athens Medical Grοup in Interbalkan European Medical Center