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European Journal of Echocardiography 2008 9(1):82-83; doi:10.1016/j.euje.2007.01.008
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org.

Mitral Omnicarbon monoleaflet valve dehiscence mapped by 3D echocardiography

Leyla Elif Sade*, Melek Uluçam and Haldun Müderrisoglu

University of Baskent, Faculty of Medicine, Department of Cardiology, Ankara, Turkey

Received 2 December 2006; accepted after revision 20 January 2007; online publish-ahead-of-print 20 March 2007.

* Corresponding author. University of Baskent, Faculty of Medicine, Kardiyoloji Anabilim Dali, C-3, Fevzi Çakmak Cad., 10. Sok., No:45, 06490 Bahçelievler, Ankara, Turkey. Tel: +90 3122126868/1404; fax: +90 3122238697. E-mail address: sadele{at}gmail.com


   Abstract

A patient with a prosthetic mitral valve presented with dyspnea, a new murmur and anemia. Real time three-dimensional (3D) echocardiography revealed a large valvular dehiscence that spanned approximately 50% of the circumference of the valve ring. By transesophageal echocardiography the paravalvular leak was mapped between 60 and 180 degrees that exactly matched the 3D echocardiographic appearance.

Keywords: Three-dimensional echocardiography; Prosthetic valve; Paravalvular leak


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