Intraoperative Delineation of Mitral Annuloplasty Dehiscence Using Three-Dimensional Transesophageal Echocardiography

Optimized mitral annuloplasty ring design reduces loading in the posterior annulus

“…Nonetheless, due to the posterior annulus' lesser suture holding strength and collagen content, there exist a higher risk for dehiscence on the posterior annulus that is corroborated by clinical reports. 11,13,25,26 This highlighted a need to further reduce suture forces in this region, possibly below what is experienced with semirigid or rigid rings. 15,17 Our previous work also suggested that the anterior annulus initially generates greater F C than the posterior annulus.…”

Mitral Valve Annuloplasty Ring Dehiscence Diagnosed Intraoperative With Real-Time 3D Transesophageal Echocardiogram

“… 12 Real-time 3D TEE constitutes a powerful tool to plan the appropriate interventional approach and identify concomitant cardiac pathologies. 9 , 13 …”