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Dissecting Intramyocardial Hematoma After Robotic Mitral Valve Repair

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Presentation on theme: "Dissecting Intramyocardial Hematoma After Robotic Mitral Valve Repair"— Presentation transcript:

1 Dissecting Intramyocardial Hematoma After Robotic Mitral Valve Repair
Tory McGrath, MD, Deepu Ushukumari, MD, Leonardo Canale, MD, Marc Gillinov, MD  The Annals of Thoracic Surgery  Volume 99, Issue 3, Pages (March 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Serial intraoperative transgastric midpapillary short-axis images of the dissecting intramyocardial hematoma (DIH). (A) Initial anteroseptal wall neocavitation with echolucent center. (B) Partial DIH opacification during protamine administration. (C) Orthogonal view showing DIH size stabilization and opacification after blood product administration. (LV = left ventricle; LVOT = left ventricular outflow tract; MV = mitral valve; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Parasternal long-axis view 6 weeks postoperatively showing dissecting intramyocardial hematoma (DIH) reabsorption. (AV = aortic valve; LA = left atrium; LV = left ventricle; MV = mitral valve; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Cropped, rotated three-dimensional TEE views showing dissecting intramyocardial hematoma (DIH) near right trigone. (A) DIH viewed from aortic root aspect. (B) DIH viewed from LV aspect. (AV = aortic valve; LT = left trigone; LV = left ventricle; MV = mitral valve; RT = right trigone; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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