TE Mitral Annulus Stitches

December 12th, 2024
(Updated December 12th, 2024)

s/p Mitral valve repair: protruding surgical stitches from prosthetic mitral annulus

Figure 1 - Transesophageal mid-esophageal long axis of the LV, mitral valve repair: surgical stitch protruding in the left atrial cavity
Figure 1 – Transesophageal mid-esophageal long axis of the LV, mitral valve repair: surgical stitch protruding in the left atrial cavity
Figure 2 – Transesophageal mid-esophageal long axis of the LV, mitral valve repair: surgical stitch protruding in the left atrial cavity

[TE682) 12/11/2019. 54 y., male, BSA= 1.9 m2, mitral valve prolapsse of A3 + A2 (ruptured chorda), arterial hypertension, previous stroke, smoker.
Pre-op: LVEDVi= 94 ml/m2, EF= 70%, GLS= -21%, mitral EROA= 0.89 cm2, LAESVi= 70 ml/m2, PSP= 87 mmHg.

Post-CPB transesophageal examination.
s/p MV repair: mobile protruding stitches (dotted red circle) from prosthetic mitral annulus (white arrow) in LA cavity. Should be described in the TE report so not to be confused with atrial mass or valve vegetation at follow-up TT examinations.

Figure 4 - Transthoracic exam, 1 month follow-up post-surgery, apical 3-chamber view
Figure 4 – Transthoracic exam, 1 month follow-up post-surgery, apical 3-chamber view
Figure 3 – Transthoracic exam, 1 month follow-up post-surgery, apical 3-chamber view

1 month follow-up post-surgery, transthoracic examination.
s/p MV repair: stitches cannot be visualized because of shadowing from the mitral prosthetic annulus (dotted red circle).
Mild residual mitral regurgitation.
LVEDVi= 89 ml/m2, EF= 52%, GLS= -14.9%, mean mitral valve diastolic gradient= 2.8 mmHg, LAESVi= 56 ml/m2, PSP= 35 mmHg.