Isolated cleft of the anterior mitral valve leaflet mitral valve: Surgical strategy guided by 3D Transesophageal Echocardiography
DOI:
https://doi.org/10.37615/retic.v5n2a7Keywords:
mitral regurgitation, 3D echocardiography, congenital defects.Abstract
Isolated anterior mitral valve cleft (not associated with atrioventricular septal defect or endocardial cushion fusion
defect) is a rare cause of congenital mitral regurgitation. Whenever possible, mitral valve repair (direct cleft suture
with or without prosthetic annulus insertion) is preferable instead of valve replacement. We present a clinical case
in which we describe the usefulness of three-dimensional (3D) transesophageal echocardiography (TEE) for the
diagnosis and morphological evaluation of the defect to aid in the planning of the surgical procedure.
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Narang A, Addetia K, Weinert L, Yamat M, Shah A, Blair JE, et al. Diagnosis of Isolated Cleft Mitral Valve Using Three-Dimensional Echocardiography. J Am Soc Echocardiogr. 2018 Nov;31(11):1161-1167. DOI: https://doi.org/10.1016/j.echo.2018.06.008
Qamruddin S, and Naqvi TZ. Advances in 3D echocardiography for mitral valve. Expert Rev Cardiovasc Ther. 2011 Nov;9(11):1431-43. DOI: https://doi.org/10.1586/erc.11.137
Yuan X, Zhou A, Chen L, Zhang C, Zhang Y, and Xu P. Diagnosis of mitral valve cleft using real-time 3-dimensional echocardiography. J Thorac Dis. 2017 Jan;9(1):159-165. DOI: https://doi.org/10.21037/jtd.2017.01.21
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