Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report

BACKGROUND: Diagnosis of prosthetic valve leakage by the transthoracic echocardiogram (TTE) technique is more difficult. These limitations are diminished with the use of transesophageal echocardiogram (TEE) techniques. CASE REPORT: A 71 year old Caucasian male presented with symptoms and signs of co...

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Autores principales: Jayawardena, Suriya, Sooriabalan, Danushan, Burzyantseva, Olga, Sinnapunayagm, Selvaratnam
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569914/
https://www.ncbi.nlm.nih.gov/pubmed/18838002
http://dx.doi.org/10.1186/1757-1626-1-216
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author Jayawardena, Suriya
Sooriabalan, Danushan
Burzyantseva, Olga
Sinnapunayagm, Selvaratnam
author_facet Jayawardena, Suriya
Sooriabalan, Danushan
Burzyantseva, Olga
Sinnapunayagm, Selvaratnam
author_sort Jayawardena, Suriya
collection PubMed
description BACKGROUND: Diagnosis of prosthetic valve leakage by the transthoracic echocardiogram (TTE) technique is more difficult. These limitations are diminished with the use of transesophageal echocardiogram (TEE) techniques. CASE REPORT: A 71 year old Caucasian male presented with symptoms and signs of congestive heart failure. Past medical history included a bio-prosthetic mitral valve replacement for severe mitral regurgitation. TTE showed possible mitral regurgitation. As the TTE did not correlate with the finding of a high E-velocity, a TEE was performed, which showed a significant paravalvular leak of moderate severity around the bio-prosthetic mitral valve. CONCLUSION: There should be a high degree of suspicion to diagnose a paravalvular leak.
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spelling pubmed-25699142008-10-18 Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report Jayawardena, Suriya Sooriabalan, Danushan Burzyantseva, Olga Sinnapunayagm, Selvaratnam Cases J Case Report BACKGROUND: Diagnosis of prosthetic valve leakage by the transthoracic echocardiogram (TTE) technique is more difficult. These limitations are diminished with the use of transesophageal echocardiogram (TEE) techniques. CASE REPORT: A 71 year old Caucasian male presented with symptoms and signs of congestive heart failure. Past medical history included a bio-prosthetic mitral valve replacement for severe mitral regurgitation. TTE showed possible mitral regurgitation. As the TTE did not correlate with the finding of a high E-velocity, a TEE was performed, which showed a significant paravalvular leak of moderate severity around the bio-prosthetic mitral valve. CONCLUSION: There should be a high degree of suspicion to diagnose a paravalvular leak. BioMed Central 2008-10-06 /pmc/articles/PMC2569914/ /pubmed/18838002 http://dx.doi.org/10.1186/1757-1626-1-216 Text en Copyright © 2008 Jayawardena et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jayawardena, Suriya
Sooriabalan, Danushan
Burzyantseva, Olga
Sinnapunayagm, Selvaratnam
Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title_full Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title_fullStr Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title_full_unstemmed Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title_short Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
title_sort paravalvular mitral valve leakage presenting as congestive heart failure, missed by tte but diagnosed by tee: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569914/
https://www.ncbi.nlm.nih.gov/pubmed/18838002
http://dx.doi.org/10.1186/1757-1626-1-216
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