Three‐dimensional transesophageal echocardiography‐guided transcatheter closure of multiple mitral paravalvular leaks demonstrating real time avoidance of device‐induced valve malfunction. Issue 7 (4th June 2019)

• Record Type: Journal Article
• Authors: Harrington, Jamie K.; Porras, Diego; Maschietto, Nicola; Marx, Gerald R.
• Is Part Of: Echocardiography. Volume 36:Issue 7(2019)
• Page Start: 1418
• Page End: 1420
• Publication Date: 2019-06-04
• Subjects: paravalvular leak -- three‐dimensional transesophageal echocardiography -- transcatheter; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.14372
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract: Transcatheter closure of mitral paravalvular leaks has become an accepted alternative to surgical repair, especially in patients at high risk for reoperation. Device placement using three‐dimensional (3D) transesophageal echocardiography (TEE) guidance allows en‐face views of the valve and provides detailed information for device sizing and placement. We present a case demonstrating hybrid transapical transcatheter 3D TEE‐guided closure of two mitral paravalvular leaks. We demonstrate real time 3D TEE guidance for device sizing and placement, and early real time recognition of mechanical mitral valve leaflet impairment during device deployment.