title: Transapical repair of mitral valve paravalvular leakage using 3-D transesophageal guidance.
abstract: We report a case where transapical access with real time 3D transesophageal echocardiographic guidance is used for repair of a mitral valve paravalvular leakage. The transapical approach is a new, elegant, and relative safe alternative for repair of a paravalvular defect in high-risk patients. The use of real time 3DTEE for guiding the procedure provides the operator fast and complete information about the leakage, and allowing online monitoring of the procedure.
authors.affiliation: Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. m.swaans@antoniusziekenhuis.nl
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Swaans
authors.forename: Martijn C
authors.initials: MC
authors.lastname: Post
authors.forename: Jurien M
authors.initials: JM
authors.lastname: ten Berg
mesh_terms: D000368:Aged; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*