Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report
2008
Case of Mitral Valve Leakage Diagnosed by TEE
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Jayawardena Suriya, Sooriabalan Danushan, Burzyantseva Olga, Sinnapunayagm Selvaratnam
Primary Institution: Coney Island Hospital
Conclusion
A high degree of suspicion is necessary to diagnose a paravalvular leak.
Supporting Evidence
- TTE showed possible mitral regurgitation but was inconclusive.
- TEE revealed a significant paravalvular leak of moderate severity.
- The patient had a history of mitral valve replacement due to severe regurgitation.
Takeaway
A 71-year-old man had heart failure due to a leak around his heart valve that was missed by a common test but found using a more detailed test.
Methodology
The diagnosis was made using transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE).
Limitations
The study is based on a single case report.
Participant Demographics
71-year-old Caucasian male.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website