Echocardiography in the Era of Multimodality Cardiovascular Imaging
Figure 1
A patient with previous mitral valve repair attended with increasing breathlessness. 2D-TTE revealed two jets of mitral regurgitation (panel (a)). 2D-TOE suggested the presence of a paravalvular leak (panel (b), see arrows). Three-dimensional TOE revealed dehiscence of the posterior aspect of the mitral annuloplasty ring (panel (c), see arrow), and real-time 3D colour during TOE confirmed the presence of a reguritant jet (arrow) through this defect (panel (d)). The patient subsequently underwent redo mitral valve surgery. (LA: left atrium; RA: right atrium; LV: left ventricle; Ao: aorta; AoV: aortic valve).
