Assessment of Flail Mitral Leaflets by Dynamic Three-Dimensional Echocardiographic Imaging

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Acknowledgements

We gratefully acknowledge the technical assistance of Toshikazu Yagi, the sonographer, for in the acquisition and reconstruction of 3-dimensional echo images in this study.

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    Earlier studies have suggested that 3D-TEE was feasible but not superior to 2D-TEE for precise anatomic localization of prolapsing mitral valve segments.4,5,24,25 The accuracy of 3D-TEE for localizing flail mitral valve leaflets has also been demonstrated.3 By appreciating the saddle shape of the mitral annulus and the nonplanar relation to the leaflets, 3DE may also improve the diagnostic accuracy in mitral valve prolapse.26

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