Echocardiographic images in mitral valve repair by "edge to edge" technique

The "edge to edge" or "double orifice" technique is a new surgical option of mitral repair when functional valve insufficiency is present, due to ischemic or dilated cardiomyopathy. This technique is not frequently used and radically changes mitral anatomy and hemodynamic. Therefore, echocardiographic examination is completely different and implies good experience to evaluate postoperative valve function. For these reasons we present a case report of a patient who underwent this repair and was evaluated in the follow up by standard transthoracic echocardiography: the anatomical and functional assessment that was satisfactory compared with transesophageal examination is documented.