TY - JOUR
T1 - The additional value of three-dimensional transesophageal echocardiography in the diagnosis of unusual complication of bioprosthetic mitral valve
AU - Evangelista, Martina
AU - Barletta, Marta
AU - Corciu, Anca
AU - Mantovani, Valnetina
AU - Paoli, Lucrezia
AU - Guazzi, Marco
AU - Tusa, Maurizio
PY - 2019/4/1
Y1 - 2019/4/1
N2 - 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.
AB - 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.
KW - Bioprosthetic valve
KW - flail
KW - mitral regurgitation
KW - three-dimensional transesophageal echocardiography
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U2 - 10.4103/jcecho.jcecho_75_18
DO - 10.4103/jcecho.jcecho_75_18
M3 - Article
AN - SCOPUS:85070452896
VL - 29
SP - 78
EP - 81
JO - Journal of Cardiovascular Echography
JF - Journal of Cardiovascular Echography
SN - 2211-4122
IS - 2
ER -