Primary tissue failure of bioprosthetic mitral valves due to cusp perforations or ruptures is an unusual complication on short-term follow-up. An 88-year-old male with a known history of mitral regurgitation (MR) treated with bioprosthetic valve replacement in 2016 was referred to our center for recurrent heart failure. The two-dimensional (2D) transthoracic echocardiography documented an intraprosthetic jet of regurgitation without identifying a clear morphological mechanism, nor quantifying precisely the mitral insufficiency. 3D transesophageal echocardiography (TOE) with the tool FlexiSlice added relevant information by providing insights into the pathophysiological mechanisms of MR. The present case emphasizes the importance of 3D TOE as a fundamental tool for the diagnostic algorithm of bioprosthetic valves failure, even in the more demanding cases.
The Additional Value of Three-Dimensional Transesophageal Echocardiography in the Diagnosis of Unusual Complication of Bioprosthetic Mitral Valve / M. Evangelista, M. Barletta, A. Corciu, V. Mantovani, L. Paoli, M. Guazzi, M. Tusa. - In: JOURNAL OF CARDIOVASCULAR ECHOGRAPHY. - ISSN 2347-193X. - 29:2(2019 Jun), pp. 78-81.
|Titolo:||The Additional Value of Three-Dimensional Transesophageal Echocardiography in the Diagnosis of Unusual Complication of Bioprosthetic Mitral Valve|
EVANGELISTA, MARTINA (Primo) (Corresponding)
BARLETTA, MARTA (Secondo)
GUAZZI, MARCO (Penultimo)
|Parole Chiave:||Bioprosthetic valve; flail; mitral regurgitation; three-dimensional transesophageal echocardiography|
|Settore Scientifico Disciplinare:||Settore MED/11 - Malattie dell'Apparato Cardiovascolare|
|Data di pubblicazione:||giu-2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.4103/jcecho.jcecho_75_18|
|Appare nelle tipologie:||01 - Articolo su periodico|