Transapical repair of mitral valve paravalvular leakage using 3-D transesophageal guidance.
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.
Swaans
Martin J
MJ
Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. m.swaans@antoniusziekenhuis.nl
Post
Martijn C
MC
ten Berg
Jurien M
JM
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*