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Separation anxiety: Extreme dehiscence of a mitral annuloplasty ring
Author(s) -
Mashicharan Mary,
Loke Ian,
Zlocha Viktor,
Khoo Jeffrey
Publication year - 2019
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.14359
Subject(s) - dehiscence , medicine , mitral regurgitation , mitral valve repair , endocarditis , mitral valve , cardiology , surgery
We report a patient admitted with acute pulmonary edema 3 months after mitral valve repair, with no history of inter‐current febrile illness. Transesophageal echocardiography ( TEE ) demonstrated severe mitral regurgitation ( MR ) and an abnormally positioned annuloplasty ring, suggestive of dehiscence. The extreme extent of ring dehiscence was visualized on 3‐dimensional TEE (3D), with near‐complete separation of the ring. Strept.Mitis and Cristatus were isolated from the ring following redo mitral valve surgery, confirming endocarditis as the mechanism for dehiscence. This report highlights the additive role and superior ability of 3D TEE in the identification and anatomic delineation of mitral ring dehiscence.