Work

Utility of Intraoperative 3D TEE to Unmask a Hidden Intracardiac Fistula

Year: 2025

Type: article

Abstract: A 70-year-old woman with a previously repaired atrioventricular septal defect at 8 years of age was found to have severe mitral valve regurgitation in the setting of a mitral valve cleft identified on transesophageal echocardiogram (TEE) and computed tomography imaging. She underwent surgical repair and was found to have an intracardiac shunt on intraoperative TEE that was initially obscured by the severe mitral regurgitant jet. This case highlights the utility of intraoperative 3-dimensional TEE which helped to identify and localize the intracardiac shunt and allowed for appropriate repair of the fistula while patient was still in the operating room.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103800

Authors: Michael Apolinario, Reza Arsanjani, Kristen Sell-Dottin, Chadi Ayoub

Institutions: Mayo Clinic, Mayo Clinic Hospital, Mayo Clinic in Arizona

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850