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European Journal of Echocardiography Advance Access published online on July 24, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen203
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Real-time three-dimensional TEE-guided repair of a paravalvular leak after mitral valve replacement

Gregory W. Fischer1,2,* and David H. Adams2

1 Department of Anesthesiology, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1010, New York, NY 10029, USA
2 Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY, USA

Received 21 March 2008; accepted after revision 5 July 2008.

* Corresponding author. Tel: +1 212 241 7473; fax: +1 212 876 3906. E-mail address: gregory.fischer{at}mountsinai.org


  Abstract

Paravalvular leaks are well-known complications seen following cardiac valve surgery. We report a case in which real-time three-dimensional TEE (3D-TEE) was utilized intraoperatively to identify the number, severity, and precise locations of a paravalvular leak at the time of surgery for mitral valve replacement.

Keywords: Real-time 3D-TEE; Paravalvular leak; Mitral valve replacement


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