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Assessment During and After Surgery or Interventional Procedures on the Mitral Valve

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Abstract

This chapter provides an overview of the role of three-dimensional echocardiography (3DE) in surgical and percutaneous mitral valve procedures. Throughout the chapter, numerous still images and videos are provided to illustrate the incremental values of 3DE in these procedures. The chapter starts with the description of 3DE imaging of surgical mitral valve replacements and repairs. The 3DE appearance of major types of mechanical and bioprosthetic valves is given including Starr-Edwards, Medtronic Hall, St Jude, and Carpentier Edwards prosthetic valves. Thereafter, an overview of common surgical mitral valve repairs including the Alfieri stitch is discussed. Next, an overview of 3DE in percutaneous alternatives to surgical repairs of native and prosthetic mitral regurgitant lesions is provided including the mitral valve clipping and percutaneous closures of prosthetic paravalvular leaks. The chapter concludes with a description of the role of 3DE in percutaneous mitral balloon valvuloplasty of rheumatic mitral stenosis.

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Correspondence to Muhamed Saric .

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Electronic Supplementary Material

Starr-Edwards mitral valve on 3D TEE. This video corresponds to (b) of Fig. 11.1 (MP4 151 kb)

Björk-Shiley valve on 3D TEE. This video corresponds to (b) of Fig. 11.2 (MP4 156 kb)

Medtronic Hall valve on 3D TEE. This video corresponds to (b) of Fig. 11.3 (MP4 195 kb)

Omniscience valve on 3D TEE. This video corresponds to (b) of Fig. 11.4 (MP4 134 kb)

St. Jude valve on 3D TEE. This video corresponds to (b) of Fig. 11.5 (MP4 164 kb)

Bioprosthetic valve on 3D TEE. This video corresponds to (b) of Fig. 11.6 (MP4 167 kb)

Complete mitral annuloplasty ring on 3D TEE. This video corresponds to (b) of Fig. 11.7 (MP4 164 kb)

Mitral annuloplasty band on 3D TEE. This video corresponds to (b) of Fig. 11.8 (MP4 290 kb)

Alfieri edge-to-edge repair on 3D TEE. This video corresponds to (a) of Fig. 11.9 (MP4 382 kb)

Mitral clip on 3D TEE. This video corresponds to (b, c) of Fig. 11.11 (MP4 1235 kb)

Valve-in-valve procedure on 3D TEE. This video corresponds to (c) of Fig. 11.20 (MP4 186 kb)

Rheumatic mitral stenosis on 3D TEE. This video corresponds to (a) of Fig. 11.21 (MP4 336 kb)

PMBV procedure on 3D TEE. This video corresponds to (b) of Fig. 11.22 (MP4 815 kb)

Complication of PMBV procedure on 3D TEE. This video corresponds to (c) of Fig. 11.23 (MP4 321 kb)

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Saric, M., Perk, G., Kronzon, I. (2019). Assessment During and After Surgery or Interventional Procedures on the Mitral Valve. In: Badano, L., Lang, R., Muraru, D. (eds) Textbook of Three-Dimensional Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-14032-8_11

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