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An unusual appearance of a large mitral valve cleft within a prolapsing segment diagnosed by three‐dimensional transesophageal echocardiography
Author(s) -
Ramsdell Geoffrey,
Davies Stephen,
Ailawadi Gorav,
Singh Karen E.
Publication year - 2018
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14159
Subject(s) - mitral regurgitation , medicine , mitral valve prolapse , mitral valve , cardiology , regurgitation (circulation) , radiology , mitral valve regurgitation
Eighty‐year‐old woman presented for minimally invasive mitral valve repair for severe mitral regurgitation. Intraoperative two‐dimensional transesophageal echocardiography (2 DTEE ) and subsequent three‐dimensional transesophageal echocardiography examination showed severe mitral valve regurgitation with a bidirectional jet caused by both P2 segment prolapse and a large cleft within the P2 segment. The preoperative diagnosis of this complex pathology was challenging by 2 DTEE , and a 3D examination of the mitral valve was helpful to confirm the presence of a cleft within the prolapsing segment.