Erschienen in:
01.12.2014 | Image of the month
Dehiscence of mitral annuloplasty ring on real-time 3D transesophageal echocardiography
verfasst von:
C. Toprak, MD, M. Ozkan, MD, M.E. Kalkan, MD, H.I. Durmus, MD, G. Kahveci, MD
Erschienen in:
Herz
|
Ausgabe 8/2014
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Excerpt
A 53-year-old man had undergone mitral valve repair with the placement of a No. 28 St. Jude Medical Rigid Saddle Ring because of severe functional mitral regurgitation. He was referred to our cardiology clinic 1 month after the operation with sudden progression of dyspnea and an apical holosystolic blowing murmur radiating to the back. There was no clinical sign of endocarditis or any history of trauma; laboratory findings were unremarkable. His chest radiograph indicated an enlarged cardiac silhouette with evidence of pulmonary congestion. Two-dimensional transesophageal echocardiography (TEE) revealed severe mitral eccentric regurgitation laterally (
Fig. 1, Video 1). Three-dimensional TEE demonstrated that nearly three-quarters of the ring dehisced from the mitral annulus, and full-volume examination showed severe mitral regurgitation jet (
Fig. 1, Videos 2, 3). The native mitral valve was replaced with a No. 29 ATS mechanical prosthesis. …
