European Journal of Echocardiography 2008 9(1):82-83; doi:10.1016/j.euje.2007.01.008
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 Müderriso
lu
University of Ba
kent, 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 Bakent, 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
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Abstract
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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
A 47-year-old patient with a prosthetic valve, implanted in 1989 in the mitral position, presented with dyspnea that worsened within the last few months. He had 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 (Figure 1A) (Movie 1). By transesophageal echocardiography the paravalvular leak was mapped between 60 and 180 degrees (Figure 1B and C) (Movie 2)1 that clearly matched the 3D echocardiographic appearance. 3D echocardiography is a non-invasive tool that may reduce the need for TEE to describe the extent and localization of the mitral prosthetic valvular dehiscence.
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Figure 1 3D echocardiography image from the ventricular perspective showing mitral prosthetic valve dehiscence (arrows) with protruding sutures within the dehiscence gap (asterisk) (A), transesophageal echocardiography showing mitral prosthetic valve dehiscence (arrow) (B) and significant paravalvular leak (open arrow) (C). Ao, aorta; LV, left ventricle; LAA, left atrial appendix; MV, mitral valve.
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Supplementary material
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Supplementary material associated with this article can be found in the online version.
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Reference
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- Foster GP, Isselbacher EM, Rose GA, Torchina DF, Akins CW, Picard MH. Accurate localization of mitral regurgitant defects using multiplane transesophageal echocardiography. Ann Thorac Surg (1998) 65:1025–31.[Abstract/Free Full Text]
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Abstract
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