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Erschienen in:
24.02.2021 | Case image in cardiovascular ultrasound
Aggravating dyspnea in a 62-year-old man
Erschienen in: Journal of Echocardiography | Ausgabe 4/2022
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A 62-year-old man with a previous history of mitral and aortic valve (St. Jude Medical Valve no 27 and 23, respectively) replacement (22 years ago) and percutaneous closure of paravalvular leaks with three Amplatzer Muscular VSD Occluders devices no 8 (7 years ago) was admitted in our institution due to aggravating dyspnea, ascites, and lower extremity edema. His physical examination revealed grade III/VI holosystolic murmur at right sternal border and right-sided S3. ECG showed AF rhythm and non-specific ST-T changes. TEE (Fig. 1a, online supplementary videos 1–3) and fluoroscopy (Fig. 1b, online supplementary video 4) were performed for further evaluation of mechanical valve function.
Fig. 1
a Transesophageal echocardiography, three-dimensional reconstruction of mitral valve prosthesis showing in midesophageal view; there are three Amplatzer Muscular VSD Occluders: two at 1 and 2 O’clock surgical view and one at 7 O’clock surgical view. b Fluoroscopy of prosthetic aortic and mitral valves showing three occluder devices in LAO cranial view
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