title: Usefulness of three-dimensional transesophageal echocardiography in retrieval of a dislodged vascular plug used to close paraprosthetic mitral regurgitation.
abstract: In this report, we describe a case of periprocedural dislodgement of an Amplatzer Vascular Plug II device during percutaneous closure of severe paraprosthetic mitral regurgitation. The free plug in the left atrium was successfully retrieved percutaneously using a snare inserted through a sheath under live/real time three-dimensional transesophageal echocardiographic guidance. This proved crucial not only in guiding device deployment but also in detecting and helping management of complications.
authors.affiliation: Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Mustafa I
authors.initials: MI
authors.lastname: Ahmed
authors.forename: Mostafa
authors.initials: M
authors.lastname: Elguindy
authors.forename: Luis
authors.initials: L
authors.lastname: Bowen
authors.forename: Oluseun O
authors.initials: OO
authors.lastname: Alli
authors.forename: Tolga
authors.initials: T
authors.lastname: Guvenc
authors.forename: Navin C
authors.initials: NC
authors.lastname: Nanda
mesh_terms: D000368:Aged; D020878:Device Removal / Q000379:methods; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D055989:Septal Occluder Device / Q000009:adverse effects*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome
keywords: dislodged plug; paraprosthetic mitral regurgitation; prosthetic mitral valve; three-dimensional echocardiography; three-dimensional transesophageal echocardiography; two-dimensional transesophageal echocardiography