Mitral Omnicarbon monoleaflet valve dehiscence mapped by 3D echocardiography.

A patient with a prosthetic mitral valve presented with dyspnea, a new murmur and anemia. Real time three-dimensional (3D) echocardiography revealed a large valvular dehiscence that spanned approximately 50% of the circumference of the valve ring. By transesophageal echocardiography the paravalvular leak was mapped between 60 and 180 degrees that exactly matched the 3D echocardiographic appearance.