Crossed Swords Sign: A 3-Dimensional Echocardiographic Appearance. Issue 11 (3rd June 2019)

• Record Type: Journal Article
• Authors: Gao, Zhifeng; Bortman, Jeffrey M.; Mahmood, Feroze; Matyal, Robina; Khabbaz, Kamal R.
• Is Part Of: A & A practice. Volume 12:Issue 11(2019)
• Publication Date: 2019-06-03
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000937
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Intraoperative evaluation of mitral regurgitation is a complex undertaking. Bileaflet prolapse/flail can result in divergent mitral regurgitation jets with a characteristic "crossed swords sign" appearance. We present a case of divergent mitral regurgitation jets that were detected intraoperatively and evaluated using 3-dimensional imaging. The accurate assessment of eccentric mitral regurgitation jets, especially bilateral eccentric mitral regurgitation jets, is challenging before surgical repair. Intraoperative 3-dimensional transesophageal echocardiography with and without color-flow Doppler can significantly improve the localization of the anatomical lesion. Abstract : Supplemental Digital Content is available in the text.