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The patient was taken back to the operating room and surgeons could not identify the cause. An enlarged left atrium and the size of the prosthetic valve was thought to have precipitated this condition. The heart team decided a biological prosthetic valve replacement would be performed. This case emphasizes the important role of the perioperative 3D echocardiogram in the detection of immediate surgical complications.<\/jats:p>","DOI":"10.1111\/echo.15337","type":"journal-article","created":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T02:13:51Z","timestamp":1647051231000},"page":"637-642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative intermittent dysfunction of mitral valve prosthesis of unclear etiology identified by three\u2010dimensional echocardiography"],"prefix":"10.1111","volume":"39","author":[{"given":"Mariana M.","family":"Cano\u2010Nieto","sequence":"first","affiliation":[{"name":"Echocardiography Department National Institute of Cardiology Ignacio Chavez  Tlalpan Mexico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Santiba\u00f1ez\u2010Escobar","sequence":"additional","affiliation":[{"name":"Surgery Department National 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