A patient with a prosthetic mitral valve presented with dyspnea, a new murmur and anemia. Real time three-dimensional (3D) echocardiography revealed a large valvular dehiscence that spanned approximately 50% of the circumference of the valve ring. By transesophageal echocardiography the paravalvular leak was mapped between 60 and 180 degrees that exactly matched the 3D echocardiographic appearance.
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| http://dx.doi.org/10.1016/j.euje.2007.01.008 | DOI Listing |
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