J Korean Med Sci.  2023 Dec;38(47):e407. 10.3346/jkms.2023.38.e407.

Mitral Annuloplasty Ring Dehiscence Diagnosed by Three-Dimensional Echocardiography

• Park JS

• KMID: 2548806
• DOI: http://doi.org/10.3346/jkms.2023.38.e407

Figure

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  Fig. 1 Chest radiography on admission. Chest radiography showed marked cardiomegaly with pulmonary congestion. Although thoracotomy scar was present on the right anterior chest wall, chest radiography demonstrated no evidence of previous cardiac surgery including midline sternotomy wires or mediastinal surgical clips.

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  Fig. 2 Transthoracic echocardiography. Parasternal long axis view (A) and apical 2 chamber view (B) of the transthoracic echocardiography showed linear shaped mass (yellow arrow) originated from posterior mitral annulus with severe mitral regurgitation.

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  Fig. 3 Real time 3D TEE. Real time 3D TEE confirmed the mitral annuloplasty ring dehiscence (red asterisk). (A) Real time 3D TEE image of diastolic phase. (B) Real time 3D TEE image of systolic phase.3D TEE = three-dimensional transesophageal echocardiography, AML = anterior mitral leaflet, PML = posterior mitral leaflet.

Reference

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