Intraoperative transesophageal echocardiographic diagnosis of a stuck bioprosthetic mitral valve leaflet.
Stuck (immobilized) leaflet of a metallic mitral prosthetic valve due to obstruction by mitral subvalvular apparatus is a well recognized complication after placement of prosthetic valves. However, a stuck mitral valve leaflet involving a bioprosthetic valve has not been reported so far most likely because of increased pliability of tissue leaflets. We describe the first case of a stuck bioprosthetic mitral valve leaflet in which intraoperative transesophageal echocardiography was useful to make a definitive diagnosis and helped to resolve the problem immediately.
Singh
Anurag
A
Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA. sbjani@yahoo.com
Nanda
Navin C
NC
Kirklin
James K
JK
D000368:Aged; D001705:Bioprosthesis; D002815:Chordae Tendineae / Q000473:pathology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D010210:Papillary Muscles / Q000473:pathology / Q000601:surgery; D012086:Reoperation