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. Author manuscript; available in PMC: 2019 Mar 1.
Published in final edited form as: Catheter Cardiovasc Interv. 2017 May 4;92(3):627–632. doi: 10.1002/ccd.27054

Fig. 1.

Fig. 1

Transcatheter mitral valve-in ring. A: A 26-mm Edwards Sapien valve was deployed at the level of the mitral valve ring using a transapical approach. B: Intraoperative transesophageal echocardiogram (TEE) after mitral valve-in-ring replacement revealed native valve leaflets (blue arrow) overhanging and interfering (C) with closure of the prosthetic leaflets (white arrow), and resulting severe central MR (D) by color Doppler (arrow). D: A 22-mm Melody valve was deployed farther into the atrium away from the prolapsing leaflet. E: TEE after second transcatheter valve showing functioning transcatheter valve leaflets (white arrow) that are a significant distance from native valve leaflets (white arrow). [Color figure can be viewed at wileyonlinelibrary.com]