• Cardiol J · Jan 2012

    Case Reports

    Anterior mitral leaflet perforation identified by real time three-dimensional transesophageal echocardiography.

    • Hsiao-Liang Cheng, Ya-Jung Cheng, and Chia-Hsin Lai.
    • Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
    • Cardiol J. 2012 Jan 1;19(1):89-91.

    AbstractWith its unique en face view, real time three-dimensional transesophageal echocardiography has been reported to be more precise than conventional two-dimensional studies in evaluating mitral regurgitation etiology, and can locate diseased segments correctly. We present a case with severe mitral regurgitation due to anterior mitral leaflet perforation. Intraoperative real time three-dimensional transesophageal echocardiography demonstrated its value in diagnosis and surgical planning for this perforation, which had not been identified preoperatively. This technique should be applied more widely for dedicated mitral valve assessment in clinical practice.

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