title: Transvalvular mitral regurgitation following mitral valve replacement a diagnostic dilemma.
abstract: After mitral valve replacement with a prosthetic valve, the valve should be competent and there should not be any residual prosthetic valve regurgitation. Transvalvular residual prosthetic valve regurgitation are difficult to diagnose and quantify. we are reporting interesting TEE images as a diagnostic dilemma in a case of transvalvular mitral regurgitation following mitral valve replacement secondary to entrapment of sub-valvular apparatus in a Chitra mechanical heart valve.
authors.affiliation: Department of Cardiac Thoracic and Vascular Anesthesia, JSS Superspeciality Hospital, Mysore, Karnataka, India.
authors.forename: U S
authors.initials: US
authors.lastname: Dinesh Kumar
authors.forename: Umesh
authors.initials: U
authors.lastname: Nareppa
authors.forename: Shyam Prasad
authors.initials: SP
authors.lastname: Shetty
authors.forename: Murugesh
authors.initials: M
authors.lastname: Wali
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*