Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula
A 70-year-old woman with a previously repaired atrioventricular septal defect at 8 years of age was found to have severe mitral valve regurgitation in the setting of a mitral valve cleft identified on transesophageal echocardiogram (TEE) and computed tomography imaging. She underwent surgical repair...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925005789 |
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| author | Michael Apolinario, MD, MS Reza Arsanjani, MD Kristen Sell-Dottin, MD Chadi Ayoub, MBBS, PhD |
| author_facet | Michael Apolinario, MD, MS Reza Arsanjani, MD Kristen Sell-Dottin, MD Chadi Ayoub, MBBS, PhD |
| author_sort | Michael Apolinario, MD, MS |
| collection | DOAJ |
| description | A 70-year-old woman with a previously repaired atrioventricular septal defect at 8 years of age was found to have severe mitral valve regurgitation in the setting of a mitral valve cleft identified on transesophageal echocardiogram (TEE) and computed tomography imaging. She underwent surgical repair and was found to have an intracardiac shunt on intraoperative TEE that was initially obscured by the severe mitral regurgitant jet. This case highlights the utility of intraoperative 3-dimensional TEE which helped to identify and localize the intracardiac shunt and allowed for appropriate repair of the fistula while patient was still in the operating room. |
| format | Article |
| id | doaj-art-39febe8f9c8045abaccc818b47b94b42 |
| institution | Matheson Library |
| issn | 2666-0849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj-art-39febe8f9c8045abaccc818b47b94b422025-07-04T04:46:54ZengElsevierJACC: Case Reports2666-08492025-07-013017103800Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac FistulaMichael Apolinario, MD, MS0Reza Arsanjani, MD1Kristen Sell-Dottin, MD2Chadi Ayoub, MBBS, PhD3Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USADepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USADepartment of Cardiovascular Surgery, Mayo Clinic, Phoenix, Arizona, USADepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USA; Address for correspondence: Dr Chadi Ayoub, Mayo Clinic, Division of Cardiovascular Imaging, 5777 East Mayo Blvd, Phoenix, Arizona 85054, USA.A 70-year-old woman with a previously repaired atrioventricular septal defect at 8 years of age was found to have severe mitral valve regurgitation in the setting of a mitral valve cleft identified on transesophageal echocardiogram (TEE) and computed tomography imaging. She underwent surgical repair and was found to have an intracardiac shunt on intraoperative TEE that was initially obscured by the severe mitral regurgitant jet. This case highlights the utility of intraoperative 3-dimensional TEE which helped to identify and localize the intracardiac shunt and allowed for appropriate repair of the fistula while patient was still in the operating room.http://www.sciencedirect.com/science/article/pii/S2666084925005789congenital heart defectechocardiographyimagingthree-dimensional imagingvalve repair |
| spellingShingle | Michael Apolinario, MD, MS Reza Arsanjani, MD Kristen Sell-Dottin, MD Chadi Ayoub, MBBS, PhD Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula JACC: Case Reports congenital heart defect echocardiography imaging three-dimensional imaging valve repair |
| title | Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula |
| title_full | Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula |
| title_fullStr | Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula |
| title_full_unstemmed | Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula |
| title_short | Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula |
| title_sort | utility of intraoperative 3d tee to unmask a hidden intracardiac fistula |
| topic | congenital heart defect echocardiography imaging three-dimensional imaging valve repair |
| url | http://www.sciencedirect.com/science/article/pii/S2666084925005789 |
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