Be Prepared for the Unexpected

Tom Kai Ming Wang, MBChB, MD(res); Rhonda Miyasaka, MD; Grant Reed, MD; Amar Krishnaswamy, MD; Samir R. Kapadia, MD; Serge C. Harb, MD

JACC: Case Reports (Apr 2020)

Be Prepared for the Unexpected

Tom Kai Ming Wang, MBChB, MD(res),
Rhonda Miyasaka, MD,
Grant Reed, MD,
Amar Krishnaswamy, MD,
Samir R. Kapadia, MD,
Serge C. Harb, MD

Affiliations

Tom Kai Ming Wang, MBChB, MD(res): Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio; Address for correspondence: Dr. Tom Kai Ming Wang, Department of Cardiovascular Medicine (Cardiovascular Imaging Section J1-5), Cleveland Clinic, Main Campus, 9500 Euclid Avenue, Cleveland, Ohio 44195.
Rhonda Miyasaka, MD: Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio
Grant Reed, MD: Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
Amar Krishnaswamy, MD: Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
Samir R. Kapadia, MD: Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
Serge C. Harb, MD: Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio

Journal volume & issue: Vol. 2, no. 4
pp. 549 – 554

Abstract

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Transesophageal echocardiography plays a central role in the evaluation and guidance of mitral valve interventions. Our case highlights the importance of thorough intraprocedural valve evaluation using 3-dimensional and multiplanar reconstruction transesophageal echocardiography, discovering an unexpected mechanism for mitral regurgitation, to guide an alternative intervention strategy by an experienced interventional team. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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