Periprosthetic Leak

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TEEIntraOpMEMCV2D
Short case presentation
65 you WM S/P PTCA, CABG 8 years ago. He has a Hx of HTN, NIDDM, COPD, MI. He presents with SEMI and CP. Cath shows LVEF 55%, RCA 100%, RIMA -> RCA OK, LAD 70%, LIMA -> LAD 70%. Mild to Moderate MR.

What is your assessment of the mitral valve?
What is your assessment of the IntraopPostOp loops of the mitral valve?
Please discuss the outcomes of periprosthetic leak in the mitral valve position.