Anterior mitral leaflet perforation identified by real time three-dimensional transesophageal echocardiography.
With its unique en face view, real time three-dimensional transesophageal echocardiography has been reported to be more precise than conventional two-dimensional studies in evaluating mitral regurgitation etiology, and can locate diseased segments correctly. We present a case with severe mitral regurgitation due to anterior mitral leaflet perforation. Intraoperative real time three-dimensional transesophageal echocardiography demonstrated its value in diagnosis and surgical planning for this perforation, which had not been identified preoperatively. This technique should be applied more widely for dedicated mitral valve assessment in clinical practice.
Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
Hsiao-Liang
HL
Cheng
Ya-Jung
YJ
Cheng
Chia-Hsin
CH
Lai
D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D010496:Pericardium / Q000637:transplantation; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D013291:Streptococcus / Q000302:isolation & purification; D016896:Treatment Outcome