TY - JOUR T1 - Intra-cardiac echocardiography in mitral valve repair: a novel use of a complimentary imaging modality in a difficult scenario JF - Heart JO - Heart SP - 1791 LP - 1792 DO - 10.1136/heartjnl-2013-304165 VL - 99 IS - 23 AU - N C Edwards AU - M Griffiths AU - R P Steeds Y1 - 2013/12/01 UR - http://heart.bmj.com/content/99/23/1791.abstract N2 - 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. … ER -