title: Insights into the Mechanism of Severe Mitral Regurgitation: RT-3D TEE Guided Management with Pathological Correlation.
abstract: Mitral valve perforation is an uncommon but important complication of infective endocarditis. We report a case of a 65-year-old man who was diagnosed to have infective endocarditis of his mitral valve. Through the course of his admission he had a rapid development of hemodynamic instability and pulmonary edema secondary to acutely worsening mitral regurgitation. While the TEE demonstrated an increase in the size of his bacterial vegetation, Real Time 3D TEE was ultimately the imaging modality through which the valve perforation was identified. Through this case report we discuss the advantages that RT-3D TEE has over traditional 2D TEE in the management of valve perforation.
authors.affiliation: Department of Medicine, Banner-University Medical Center South, Tucson, AZ 85713, USA.
authors.forename: Senthil
authors.initials: S
authors.lastname: Anand
authors.affiliation: Department of Cardiovascular Medicine, Sarver Heart Center, Banner-University Medical Center, Tucson, AZ 85724, USA.
authors.forename: Naktal
authors.initials: N
authors.lastname: Hamoud
authors.affiliation: Department of Cardiovascular Medicine, Sarver Heart Center, Banner-University Medical Center, Tucson, AZ 85724, USA.
authors.forename: Jess
authors.initials: J
authors.lastname: Thompson
authors.affiliation: Department of Cardiovascular Medicine, Sarver Heart Center, Banner-University Medical Center, Tucson, AZ 85724, USA.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Janardhanan