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Clear Demonstration of Different Mechanisms of Severe Mitral Regurgitation Caused by the Mitral Ring Dehissence during Transesophageal Echocardiography
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  • Mustafa Ferhat Keten,
  • Berhan Keskin,
  • Ahmet Karaduman,
  • İsmail Balaban,
  • Gokhan Kahveci
Mustafa Ferhat Keten
Kartal Kosuyolu Training and Research Hospital
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Berhan Keskin
Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi
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Ahmet Karaduman
Kartal Kosuyolu Training and Research Hospital
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İsmail Balaban
Kartal Kosuyolu Training and Research Hospital
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Gokhan Kahveci
Rize State Hospital
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Abstract

Mitral ring dehiscence is a rare clinical condition and may result in the recurrence of severe mitral regurgitation(MR). Echocardiography has a critical role in the diagnosis. In this case, a patient with prosthetic mitral ring dehiscence was evaluated with transesophageal echocardiography and demonstrative images have been obtained. Interestingly, two different MR jets, first one from the perimitral ring and the second one from the basal portion of the posterior mitral leaflet(PML) were present. Most likely, suturing of the mitral ring to the basal portion of the PML, which is an unexpected condition, caused to MR after the ring dehiscence