Eighty‐year‐old woman presented for minimally invasive mitral valve repair for severe mitral regurgitation. Intraoperative two‐dimensional transesophageal echocardiography (2DTEE) and subsequent three‐dimensional transesophageal echocardiography examination showed severe mitral valve regurgitation with… Click to show full abstract
Eighty‐year‐old woman presented for minimally invasive mitral valve repair for severe mitral regurgitation. Intraoperative two‐dimensional transesophageal echocardiography (2DTEE) and subsequent three‐dimensional transesophageal echocardiography examination showed severe mitral valve regurgitation with a bidirectional jet caused by both P2 segment prolapse and a large cleft within the P2 segment. The preoperative diagnosis of this complex pathology was challenging by 2DTEE, and a 3D examination of the mitral valve was helpful to confirm the presence of a cleft within the prolapsing segment.
               
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