Key result
In a patient undergoing mitral valve repair, a sudden change in the mitral regurgitant jet direction from posterior to anterior on TEE indicated acute repair failure due to a ruptured neochord.
Population
1 58-year-old man with a history of hypertension and symptomatic mitral valve prolapse presenting for mitral…
Design
Case_report
Follow-up
until postoperative day 4
Authors
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Alerts to possible acute repair failure via TEE jet shift after mitral repair; case report leaves open practice change.
Case Report (n=1)
Continuous intraoperative TEE monitoring after mitral valve repair is crucial, as a sudden change in MR jet direction can indicate acute repair failure such as neochord rupture.
Kaminski et al. (2014) conducted a case report in Mitral valve prolapse with mitral regurgitation (n=1). Mitral valve repair with neochords was evaluated. In a patient undergoing mitral valve repair, a sudden change in the mitral regurgitant jet direction from posterior to anterior on TEE indicated acute repair failure due to a ruptured neochord.
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