Intraoperative Precise Localization of Paravalvular Mitral Leak by a Simple Surgical Maneuver

Author: Ali, Idris

Source: Journal of Cardiac Surgery, Volume 23, Number 5, 1 October 2008 , pp. 541-542(2)

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Abstract:

<sc>Abstract</sc> Paravalvular leak after mitral valve replacement is a known surgical problem.<link href="#b1"/> Its management is controversial and challenging. The first and the most important step is to localize the leaking spot precisely. Echocardiogram is the standard technique that is used to localize the leak.<link href="#b2 #b3"/> The echocardiogram is accurate most of the time; however, in some occasions it does not easily provide the exact orientation of the leaking areas. A simple operative maneuver, which was used to allow the surgeon to localize the leak visually, and have accurate and solid repair, is described below.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1540-8191.2008.00609.x

Affiliations: 1: Cardiovascular Surgery, QEII Health Science Centre, Canada

Publication date: 2008-10-01