Utility of Three-Dimensional Transesophageal Echocardiography: Anatomy, Mechanism, and Severity of Regurgitation in a Patient with an Isolated Cleft Posterior Mitral Valve

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• 作者：Patric Biaggi ; MD ; ^{pbiaggi@gmx.ch} ; Matthias Greutmann ; MD ; Andrew Crean ; MD
• 关键词：Three-dimensional transesophageal echocardiography ; cleft posterior mitral valve ; mitral regurgitation
• 刊名：Journal of the American Society of Echocardiography
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：23
• 期：10
• 页码：1114.e1-1114.e4
• 全文大小：837 K

文摘

Echocardiographic assessment of a 72-year-old woman revealed a posterior mitral valve prolapse with an unusual central regurgitation jet. The use of three-dimensional (3D) transesophageal echocardiography elucidated the mismatch between morphologic and color Doppler echocardiographic findings: There was a cleft in the posterior mitral valve in addition to the posterior mitral valve prolapse. This case illustrates that the use of high-quality real-time 3D transesophageal echocardiography (including 3D color Doppler) facilitates the understanding of the anatomy and the mechanism and severity of regurgitation in complex mitral valve pathology and is clearly superior to two-dimensional transesophageal echocardiography alone.