PMC9733145_01
Transesophageal echocardiogram view of bioprosthetic mitral valve showing (A) valvular dehiscence, (B) color Doppler of severe paravalvular leak, and (C) 3-dimensional image.
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F1
Transesophageal echocardiogram (TEE) showed a crescentic shape of the dehiscence in the 5 to 7 o'clock region measuring approximately 1.6 cm in circumference by 0.6 cm in maximal width with severe paravalvular regurgitation (Figure 1).
Transesophageal echocardiogram showing (A) septal occluder device in the lateral aspect of the bioprosthetic mitral valve, (B) color Doppler of modestly reduced paravalvular leak (PVL) after deploying septal occlude device, and (C) 3-dimensional image of reduced PVL.
mdcvj-18-1-1140-g2.jpg
PMC9733145_01_mdcvj-18-1-1140-g2.jpg
F2
As a result, valve stability was achieved, and there was a modest reduction in regurgitation (Figure 2), which led to significant clinical improvement.