Mitral valve perforation, a hole-in-one for 3-dimensional echocardiography
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Updated: Oct 4, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
J Kevin Wilkes1, Iki Adachi2, Shagun Sachdeva1
1Department of Pediatrics, Division of Pediatric Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.
Abstract:
Mitral valve perforation is an uncommon aetiology of mitral regurgitation in the paediatric population. We present a case where 3-dimensional echocardiography assisted in the diagnosis of the source of mitral regurgitation and the surgical correlation.
Insights
Mitral valve perforation, a rare cause of mitral regurgitation in children, was diagnosed using 3-dimensional echocardiography. This imaging technique aided in identifying the source of regurgitation and guiding surgical intervention.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Echocardiography
Background:
- Mitral valve perforation is an infrequent cause of mitral regurgitation in pediatric patients.
- Accurate diagnosis is crucial for appropriate management and surgical planning.
Observation:
- A case study involving a pediatric patient with mitral regurgitation.
- Utilized 3-dimensional echocardiography for diagnostic assessment.
Findings:
- 3-dimensional echocardiography successfully identified mitral valve perforation as the source of mitral regurgitation.
- The diagnostic findings correlated with surgical observations.
Implications:
- Highlights the utility of 3-dimensional echocardiography in diagnosing uncommon cardiac pathologies in children.
- Emphasizes the importance of advanced imaging in pediatric cardiac surgery planning.
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