Diagnostic challenge in a patient with prosthetic mitral valve: Surgical remnant or artifact

Abstract

Incidental echocardiographic findings in asymptomatic patients could be challenging in clinical decision-making. Mitral regurgitation is a common valvular heart disease, which is the leading cause of congestive heart failure and death. Although there is a variety of treatment options, mitral valve repair remains the preferred treatment when the anatomy is suitable. Transapical mitral valve repair with artificial neochordae implantation is a novel and minimally invasive technique for patients with degenerative mitral valve disease. It has been shown that this procedure is safe, effective and has excellent long-term results. Although this technique is frequently used in valve repair, it is rarely used for mitra I prosthesis. Herein, we present an asymptomatic patient with a combination of mitra I and tricuspid valve prostheses with artificial neochordae.