# Beat the Heat Part 2 - Which procedure was performed in this patient?

## Metadata
- Content type: Blog
- Canonical URL: https://123sonography.com/blog/cases/echo-summer-challenge-1-which-procedure-was-performed-patient
- Published: June 20, 2024
- Last updated: November 6, 2024

## Overview
Are you ready for some important teaching points? Can you solve the following „echo mystery“?

## Snapshot
- Category: Cases

## Authors
- [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna

## Tags
- Echo

## Related Courses
- [Heart Chamber Quantification MasterClass](/course/heartchamberquantificationmasterclass)
- [Right Heart MasterClass](/course/rightheartmasterclass)
- [Echo BachelorClass](/course/echobachelorclass)

## Content
Are you ready for some important teaching points? Let’s kick off this next mystery with a challenge that’s akin to solving a mystery on the football field. Like spotting an offside play in the middle of an intense match, you need to focus on the specifics and uncover the truth behind this four-chamber view of a patient who underwent a procedure.

**Here’s a tip:** Pay close attention to the awkward-looking mitral valve.

## Which procedure was performed in this patient?

[![](https://123sonography.com/sites/default/files/styles/video_thumbnail/public/video/images/SC%2001%20Choral%20replacement.png?itok=FS0WmKUo)](https://vimeo.com/722555049?loop=1&title=0&byline=0&portrait=0)

**A) Ballon valvuloplasty**

**B) Unsuccessful transcatheter edge to edge repair**

**C) Surgical chord replacement + Annuloplasty**

**D) Cardioband procedure**

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Post your comments below or [**get the answer**](https://123sonography.com/blog/echo-summer-challenge-1-answer).

**Yours,**
**Thomas Binder and the 123sonography team**