Obstructed bi‐leaflet prosthetic mitral valve imaging with real‐time three‐dimensional transesophageal echocardiography |
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| Authors: | Mai Shimbo MD Hiroyuki Watanabe MD PhD Shunsuke Kimura MD Mai Terada MD PhD Takako Iino MD PhD Kenji Iino MD PhD Hiroshi Ito MD PhD |
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| Affiliation: | Department of Cardiovascular and Respiratory Medicine, Akita University School of Medicine, Akita, Japan |
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| Abstract: | Real‐time three‐dimensional transesophageal echocardiography (RT3D‐TEE) can provide unique visualization and better understanding of the relationship among cardiac structures. Here, we report the case of an 85‐year‐old woman with an obstructed mitral prosthetic valve diagnosed promptly by RT3D‐TEE, which clearly showed a leaflet stuck in the closed position. The opening and closing angles of the valve leaflets measured by RT3D‐TEE were compatible with those measured by fluoroscopy. Moreover, RT3D‐TEE revealed, in the ring of the prosthetic valve, thrombi that were not visible on fluoroscopy. RT3D‐TEE might be a valuable diagnostic technique for prosthetic mitral valve thrombosis. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43 :64–67, 2015 |
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| Keywords: | prosthetic mitral valve thrombus 3D transesophageal echocardiography prosthetic valve dysfunction |
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