Successful Explant and Replacement of Transcatheter Mitral Valve

Figures

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  Explanted Tendyne valve.

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  Figure 1. Three-dimensional reconstruction from contrast-enhanced, electrocardiogram-gated cardiac computed tomography demonstrating the mitral annulus (red), mitral annular calcification (blue), and the spatial relationship of the Intuity aortic valve to the mitral annulus with calculated mitral annular calcium volume of 797.8 mm3.

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  Figure 2. A, Two-dimensional TEE showing severe mitral valve regurgitation of the native mitral valve with 3D reconstruction showing restricted leaflet coaptation at the P3-A3 (highlighted in red). B, Two-dimensional TEE showing mild perivalvular leak after Tendyne placement with 3D reconstruction identifying the small area of leak at 12 o'clock. C, 3-dimensional TEE showing severe perivalvular leak of the Tendyne bioprosthetic valve with 3D reconstruction showing 2 areas of regurgitation at 6 and 11 o'clock. D, 3-dimensional TEE showing well-seated Mitris valve without any perivalvular leak with 3D reconstruction showing no perivalvular leaks and good opening of the bioprosthetic valve. TEE, Transesophageal echocardiography; 3D, 3-dimensional.