The additional value of three-dimensional transesophageal echocardiography in the diagnosis of unusual complication of bioprosthetic mitral valve

Martina Evangelista, Marta Barletta, Anca Corciu, Valnetina Mantovani, Lucrezia Paoli, Marco Guazzi, Maurizio Tusa

Research output: Contribution to journalArticlepeer-review

Abstract

Primary tissue failure of bioprosthetic mitral valves due to cusp perforations or ruptures is an unusual complication on short-Term follow-up. An 88-year-old male with a known history of mitral regurgitation (MR) treated with bioprosthetic valve replacement in 2016 was referred to our center for recurrent heart failure. The two-dimensional (2D) transthoracic echocardiography documented an intraprosthetic jet of regurgitation without identifying a clear morphological mechanism, nor quantifying precisely the mitral insufficiency. 3D transesophageal echocardiography (TOE) with the tool FlexiSlice added relevant information by providing insights into the pathophysiological mechanisms of MR. The present case emphasizes the importance of 3D TOE as a fundamental tool for the diagnostic algorithm of bioprosthetic valves failure, even in the more demanding cases.

Original languageEnglish
Pages (from-to)78-81
Number of pages4
JournalJournal of Cardiovascular Echography
Volume29
Issue number2
DOIs
Publication statusPublished - Apr 1 2019

Keywords

  • Bioprosthetic valve
  • flail
  • mitral regurgitation
  • three-dimensional transesophageal echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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