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Transcatheter closure of a mechanical perivalvular leak using real‐time three‐dimensional transesophageal echocardiography guidance
Author(s) -
Siddiqi Nauman,
Seto Arnold,
Patel Pranav M.
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23162
Subject(s) - medicine , fluoroscopy , leak , stenosis , mitral valve , cardiology , radiology , surgery , intracardiac injection , closure (psychology) , cardiac catheterization , environmental engineering , engineering , market economy , economics
Abstract A 47‐year‐old female with symptomatic mitral stenosis from a prior undersized mitral annuloplasty ring underwent mitral valve replacement with a mechanical valve. Later, she developed heart failure from a severe paravalvular leak (PVL). Because of the excessive mortality risks from a possible third open heart procedure, the patient was instead referred for transcatheter PVL closure. Standard fluoroscopy, invasive hemodynamics, and two‐dimensional (2D) and three‐dimensional (3D) transesophageal echocardiography (TEE) imaging were performed during device placement with excellent image quality. The case highlights the unique benefit of 3D TEE imaging for preprocedure sizing, guidance of device deployment intraprocedure, and confirmation of PVL closure. © 2011 Wiley‐Liss, Inc.