Timothy Lee, BS, Alexander J. C

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Mitral Regurgitation Exacerbation Due to Sutureless Aortic Valve Replacement Timothy Lee, BS, Alexander J.C. Mittnacht, MD, Shinobu Itagaki, MD, Allan Stewart, MD The Annals of Thoracic Surgery Volume 105, Issue 3, Pages e103-e105 (March 2018) DOI: 10.1016/j.athoracsur.2017.10.001 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative transesophageal echocardiogram midesophageal long-axis view demonstrates restrictive mitral valve leaflets (Carpentier type IIIb) with moderate mitral regurgitation before Perceval valve (LivaNova, London, United Kingdom) implantation as shown in (Left) two-dimensional and (Right) color Doppler ultrasound. The Annals of Thoracic Surgery 2018 105, e103-e105DOI: (10.1016/j.athoracsur.2017.10.001) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative transesophageal echocardiogram midesophageal long-axis view after Perceval valve (LivaNova, London, United Kingdom) implantation demonstrates impingement of the Perceval valve on the anterior mitral valve leaflet, poor leaflet coaptation, and exacerbation of mitral regurgitation in (Left) two-dimensional and (Right) color Doppler ultrasound. The Annals of Thoracic Surgery 2018 105, e103-e105DOI: (10.1016/j.athoracsur.2017.10.001) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative transesophageal echocardiogram midesophageal long-axis view after Perceval valve (LivaNova, London, United Kingdom) explantation and Magna Ease (Edwards Lifesciences, Irvine, CA) implantation demonstrating a return to baseline mitral regurgitation in (Left) two-dimensional and (Right) color Doppler ultrasound. The Annals of Thoracic Surgery 2018 105, e103-e105DOI: (10.1016/j.athoracsur.2017.10.001) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions