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Updated: Jun 8, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Transapical repair of mitral valve paravalvular leakage using 3-D transesophageal guidance
Martin J Swaans1, Martijn C Post, Jurien M ten Berg
1Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. m.swaans@antoniusziekenhuis.nl
Abstract:
We report a case where transapical access with real time 3D transesophageal echocardiographic guidance is used for repair of a mitral valve paravalvular leakage. The transapical approach is a new, elegant, and relative safe alternative for repair of a paravalvular defect in high-risk patients. The use of real time 3DTEE for guiding the procedure provides the operator fast and complete information about the leakage, and allowing online monitoring of the procedure.
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