Article Text

PDF
Intra-cardiac echocardiography in mitral valve repair: a novel use of a complimentary imaging modality in a difficult scenario
  1. N C Edwards1,2,
  2. M Griffiths3,
  3. R P Steeds2
  1. 1Department of Cardiovascular Medicine, University of Birmingham, Birmingham, UK
  2. 2Department of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, UK
  3. 3Ultrasound, Biosense Webster, Wokingham, UK
  1. Correspondence to Dr Nicola Edwards, Clinical Lecturer, Department of Cardiovascular Medicine, University of Birmingham, Medical School, Birmingham B15 2TT, UK; n.c.edwards{at}bham.ac.uk

Statistics from Altmetric.com

A 75-year-old man underwent elective preoperative transesophageal echocardiography (TOE) in view of worsening symptomatic severe mitral regurgitation (MR). Intubation was uneventful but mid-oesophageal images were unexpectedly of poor quality. Prolapse of the P2 scallop of the posterior mitral valve (MV) was confirmed using two-dimensional and three-dimensional TOE (figure 1A,B, online supplementary video 1 and 2) with severe anteriorly directed MR (figure 1C,D, online supplementary video 3 and 4). However, transgastric views could not be obtained due to resistance on advancing the probe beyond 40 cm and the procedure was abandoned. …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.