PMC9284983_01
Transesophageal echocardiogram showing severe mitral regurgitation.
mdcvj-18-1-1104-g1.jpg
PMC9284983_01_mdcvj-18-1-1104-g1.jpg
F1
Transesophageal echocardiogram (TEE) showed a large oscillating echodensity suggestive of a vegetation; it attached to the prosthetic mitral valve ring that crossed the valve plane (Figure 1, Videos 1 A, 1 B).
Transesophageal echocardiogram 2-dimensional video showing a large oscillating echodensity on the bioprosthetic mitral valve, also at https://youtu.be/hm8LprvaWDY.. Transesophageal echocardiogram 3-dimensional video of oscillating echodensity, also at https://youtu.be/qfxDc736LG4.. Transesophageal echocardiogram video showing AngioVac removal of the vegetation, also at https://youtu.be/HJ1yQsG7wPU.. Transesophageal echocardiogram video showing successful deployment of a 21-mm Edwards Trifecta  Bioprosthetic Valve in the bioprosthetic mitral valve, also at https://youtu.be/qvsrElMhhKs.. Transesophageal echocardiogram 3-dimensional video showing final results, also at https://youtube.com/shorts/vG34eVLoP5M.. Transthoracic echocardiogram 1 month after valve-in-valve procedure, also at https://youtu.be/CqxZ1Pfmt-o.
.jpg
PMC9284983_01_.jpg
V1A
She had severe mitral regurgitation with a vena contracta of 0.9 cm (Figure 2). The residual vegetation was carefully evacuated (Figure 3, Video 2).
Transesophageal echocardiogram showing trivial mitral regurgitation after valve-in-valve procedure.
mdcvj-18-1-1104-g2.jpg
PMC9284983_01_mdcvj-18-1-1104-g2.jpg
F2
The residual vegetation was carefully evacuated (Figure 3, Video 2). The vegetation (Figure 3) was sent for culture and subsequently showed no growth.