Transvalvular Regurgitation across a Tilting Disk Prosthetic Mitral Valve: Role of Intraoperative Real-time Three-dimensional Transesophageal Echocardiography
Citation Information :
Gowda N, Ganesan R, Negi SL. Transvalvular Regurgitation across a Tilting Disk Prosthetic Mitral Valve: Role of Intraoperative Real-time Three-dimensional Transesophageal Echocardiography. J Perioper Echocardiogr 2020; 8 (1):15-17.
Prosthetic valve regurgitation in the immediate post-implantation period can be caused by paravalvular or transvalvular leakage. Close examination with two-dimensional (2D) as well as three-dimensional (3D) transesophageal echocardiography (TEE) is necessary for its proper diagnosis. A case of transvalvular regurgitation across a tilting disk prosthetic valve in mitral position is described here, along with the role of 3D TEE in its diagnosis. Image acquisition and optimization for 3D TEE in prosthetic valve evaluation is also briefly reviewed.
Lancellotti P, Pibarot P, Chambers J, et al. Recommendations for the imaging assessment of prosthetic heart valves. Eur Hear J – Cardiovasc Imag 2016;17(6):589–590. DOI: 10.1093/ehjci/jew025.
Suh YJ, Hong G-R, Han K, et al. Assessment of mitral paravalvular leakage after mitral valve replacement using cardiac computed tomography. Circ Cardiovasc Imag 2016;9(6):e004153.
Thys DM, Abel MD, Brooker RF, et al. Practice guidelines for perioperative transesophageal echocardiography. Anesthesiology 2010;112(5):1084–1096. DOI: 10.1097/ALN.0b013e3181c51e90.
Zoghbi WA, Chambers JB, Dumesnil JG, et al. Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound. J Am Soc Echocardiogr 2009;22(9):975–1014. DOI: 10.1016/j.echo.2009.07.013.
Singh S, Hasija S, Chauhan S. Paravalvular leak after mitral valve replacement: advantage of 3D echo. Ann Card Anaesth 2014;17(2):137. DOI: 10.4103/0971-9784.129855.
Pang PYK, Garwood S, Hashim SW. Intraoperative bioprosthetic valve dysfunction causing severe mitral regurgitation. Ann Thorac Surg 2017;103(4):e317–e319. DOI: 10.1016/j.athoracsur.2016.09.019.
Dinesh Kumar U, Nareppa U, et al. Transvalvular mitral regurgitation following mitral valve replacement a diagnostic dilemma. Ann Card Anaesth 2015;18(4):584. DOI: 10.4103/0971-9784.166476.
Lang RM, Badano LP, Tsang W, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr 2012;25(1):3–46. DOI: 10.1016/j.echo.2011.11.010.
Chaudhari S, Prajapati J, Shastri N, et al. Evaluation of prosthetic valve dysfunction by three-dimensional echocardiography. Hear India 2018;6(2):54. DOI: 10.4103/heartindia.heartindia_1_18.
