The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Embolisation of a prosthetic mitral valve fragment during valve-in-valve transcatheter mitral valve implantation

DOI: 10.4244/EIJ-D-21-00630

1. Department of Cardiology, Soroka University Medical Center, Beersheba, Israel; 2. Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba, Israel

Figure 1. Intraprocedural imaging for transcatheter mitral valve-in-valve implantation. A) Transoesophageal echocardiogram (TOE) (mid-oesophageal long axis view with colour Doppler comparison) demonstrating severe mitral regurgitation (MR). B) TOE (mid-oesophageal four-chamber view) demonstrating flail mitral leaflet material (arrow). C) TOE (mid-oesophageal long axis three-dimensional view) demonstrating flail mitral leaflet material (arrow). D) Fluoroscopy-guided mitral valve in valve deployment. E) TOE (mid-oesophageal long axis view with colour Doppler) demonstrating mild transvalvular MR. F) Dual layout 3D view of the mitral valve demonstrating mitral valve in valve without left ventricular outflow tract obstruction (arrow). G) TOE (...

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