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The
first patient is a 70 year old woman with a 2 month history of
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shortness
of breath and dyspnea on exertion.
She was known
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to
have mitral valve (MV) prolapse and mitral regurgitation (MR).
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A
pre operative transthoracic echocardiogram (TTE) showed
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mitral
valve prolapse with moderately severe (3+) MR. Cardiac
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catheterization
showed only minimal luminal irregularities of the
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coronary
arteries.
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She
had no history of esophageal disease, dysphagia, or
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hematemesis.
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She
came to surgery for MV repair.
After induction of
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anesthesia
and endotracheal intubation a transesophageal
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echocardiography
(TEE) probe was inserted into the esophagus
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and
a comprehensive examination performed.
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