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Updated: Jul 21, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Left heart catheterization by direct puncture with two-dimensional echocardiographic guidance: a case report
1Denver General Hospital, CO 80204, USA.
Abstract:
In patients with mechanical valves in both the mitral and aortic positions, direct ventricular puncture is the recommended approach to catheterization. We report a case in which two-dimensional (2D) echocardiography was used to guide left heart catheterization by direct ventricular puncture and propose that the use of 2D echocardiography might reduce the risks historically associated the procedure.
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