Clear Demonstration of Different Mechanisms of Severe Mitral
Regurgitation Caused by the Mitral Ring Dehissence during
Transesophageal Echocardiography
Abstract
Mitral ring dehiscence is a rare clinical condition and may result in
the recurrence of severe mitral regurgitation(MR). Echocardiography has
a critical role in the diagnosis. In this case, a patient with
prosthetic mitral ring dehiscence was evaluated with transesophageal
echocardiography and demonstrative images have been obtained.
Interestingly, two different MR jets, first one from the perimitral ring
and the second one from the basal portion of the posterior mitral
leaflet(PML) were present. Most likely, suturing of the mitral ring to
the basal portion of the PML, which is an unexpected condition, caused
to MR after the ring dehiscence