Trainees in medical education are technologically savvy and provide invaluable feedback regarding initiation, development and refinement of technological systems in medical training.

While valuable in adult settings, 30-day mortality is inadequate as a quality metric among patients with CHD undergoing cardiac catheterization. To derive the optimal benefit from catheterization registry data, more robust methodologies to capture procedure-related mortality are needed. © 2014 Wiley Periodicals, Inc.

Mini‐Abstract Tricuspid valve construction using extracellular matrix (ECM) is a relatively new procedure. In this case, a 26‐year‐old woman with a history of severe tricuspid valve regurgitation secondary to congenital valve dysplasia underwent tricuspid valve surgery. Tricuspid valve repair was unsuccessful and thus a 34‐mm extracellular matrix cylinder valve (ECM‐CV) was constructed for valve replacement. The ECM‐CV is clearly imaged using echocardiography, especially three‐dimensional imaging that can help define valve function. As the use of ECM for valve construction increases, echocardiography will play an essential role in evaluating the function and mechanics of these novel valves.

Mini‐Abstract Baffle leaks are one type of complication following the Mustard operation for transposition of the great arteries. In this case, a 27‐year‐old male status post–Mustard operation scheduled for a pacemaker placement was noted to have a positive agitated saline contrast study via transesophageal echocardiography. The baffle leak could not be well defined despite extensive two‐dimensional imaging. With three‐dimensional imaging, the superior and posterior located baffle leak was clearly imaged. Three‐dimensional echocardiography allows unparalleled imaging in identifying the location of baffle leaks in patients with complex intracardiac procedures such as the Mustard operation.

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