Key result
TEE probe withdrawal reveals severe eccentric mitral regurgitation jet at the aortic valve level.
Case Report (n=1)
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An 86-year-old man with severe symptomatic aortic stenosis underwent an aortic valve replacement. A transesophageal echocardiogram (TEE) was performed during the surgery and demonstrated mild mitral regurgitation (MR). The patient's symptoms persisted despite surgery, and subsequent TEE demonstrated prolapse of the posteromedial commissural leaflet, with evidence of a severe, very eccentric MR jet which was directed laterally and superiorly. The jet was almost missed in most imaging planes and could finally be exposed by withdrawing the probe to the level of the aortic valve and left atrial appendage.
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Chen et al. (2012) conducted a case report in Aortic stenosis and mitral regurgitation (n=1). Transesophageal echocardiogram (TEE) was evaluated on Detection of severe eccentric mitral regurgitation. Transesophageal echocardiography revealed a severe, highly eccentric mitral regurgitation jet by withdrawing the probe to the level of the aortic valve and left atrial appendage.
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