Chapter 28

Intra-procedural Transesophageal Echocardiography for Mitral Valve Structural Interventions

Pankaj Jain

Pankaj Jain

1 Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, FL, USA

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Michael Fabbro II

Michael Fabbro II

1 Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, FL, USA

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First published: 20 January 2023

Summary

Mitral valve structural interventions, including edge-to-edge repair and transcatheter mitral valve replacement (TMVR), have evolved rapidly over the years. These interventions rely heavily on imaging, including echocardiographic evaluation for patient selection and transesophageal echocardiography for procedural guidance. The availability of advanced imaging modalities, including three-dimensional echocardiography and biplane imaging, has significantly enhanced visualization. A detailed understanding of the procedural steps and their complications on the part of the echocardiographer, alongside knowledge of appropriate echocardiographic views for optimal intra-procedural imaging, is critical for success.

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