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European Journal of Echocardiography Advance Access originally published online on September 13, 2009
European Journal of Echocardiography 2009 10(8):979-981; doi:10.1093/ejechocard/jep098
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Usefulness of 3D transoesophageal echocardiography for guiding wires and closure devices in mitral perivalvular leaks

Jose Manuel Becerra, Carlos Almeria*, Leopoldo Perez de Isla and Jose Zamorano

Instituto Cardiovascular, Hospital Clínico San Carlos, Plaza Cristo Rey, 28040 Madrid, Spain

Received 10 June 2009; accepted after revision 1 July 2009; online publish-ahead-of-print 13 September 2009.

* Corresponding author. Tel: +34 913 303 290; fax: +34 913 303 290. E-mail address: calmeria{at}hcsc.salud.madrid.es


   Abstract

Sixty-three-year-old male patient. Previous history of rheumatic valvular disease. He underwent multiple mitral and aortic valve replacements. Nowadays, he presents a periprosthetic mitral leak. He underwent a leak closure by using a percutaneous approach. During the procedure, the superiority of 3D TEE over 2D TEE was confirmed for wires and device positioning, excluding interference with the prosthesis discs and evaluating the residual periprosthetic regurgitation.

Keywords: Leak; Percutaneous closure; Mitral; 3D transoesophageal


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