TY - JOUR
T1 - Tearing of the mitral valve during vent removal after a successful mitral valve repair
T2 - A beneficial role of transesophageal echoocardiography
AU - Kim, Ji Young
AU - Oh, Young Jun
AU - Lee, Yong Kyung
AU - Kwak, Young Lan
PY - 2006/6
Y1 - 2006/6
N2 - In this case, a successful mitral valve repair was confirmed by transesophageal echocardiography (TEE) at the end of a cardiopulmonary bypass. The left ventricular vent was placed through the mitral valve to remove the air after the TEE examination, and on its way out, the left ventricular vent damaged the anterior mitral leaflet (AML). Re-examination of the valve with TEE detected the new mitral valve insufficiency. The CPB was reinstituted, and tearing of the lateral third part of the anterior mitral leaflet was found. This case emphasizes the importance of TEE in the operating room as a continuous monitor, not only to evaluate the result of the cardiac surgery, but also to detect any unpredictable events during the surgery.
AB - In this case, a successful mitral valve repair was confirmed by transesophageal echocardiography (TEE) at the end of a cardiopulmonary bypass. The left ventricular vent was placed through the mitral valve to remove the air after the TEE examination, and on its way out, the left ventricular vent damaged the anterior mitral leaflet (AML). Re-examination of the valve with TEE detected the new mitral valve insufficiency. The CPB was reinstituted, and tearing of the lateral third part of the anterior mitral leaflet was found. This case emphasizes the importance of TEE in the operating room as a continuous monitor, not only to evaluate the result of the cardiac surgery, but also to detect any unpredictable events during the surgery.
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U2 - 10.3349/ymj.2006.47.3.440
DO - 10.3349/ymj.2006.47.3.440
M3 - Article
C2 - 16807998
AN - SCOPUS:33745629575
VL - 47
SP - 440
EP - 442
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 3
ER -