RESUMEN
We describe the use of a nonstandard left infraclavicular approach in making the diagnosis of an infected valved conduit with two-dimensional transthoracic echocardiography. The patient was an adult with tetralogy of Fallot and pulmonary atresia who had undergone multiple surgical repair procedures. The initial diagnosis of infective endocarditis was made by transesophageal echocardiography. Both techniques demonstrated a single, large vegetation in the conduit. Live/real time three-dimensional transthoracic echocardiography, on the other hand, provided further information by demonstrating several additional vegetations in the conduit and more comprehensively assessed their size by enabling measurement of their azimuthal dimensions and volumes. The patient was treated with antibiotics with complete resolution of the vegetations.
Asunto(s)
Ecocardiografía Tridimensional , Endocarditis Bacteriana/diagnóstico por imagen , Ventrículos Cardíacos/diagnóstico por imagen , Prótesis e Implantes/microbiología , Arteria Pulmonar/diagnóstico por imagen , Adulto , Antibacterianos/uso terapéutico , Procedimientos Quirúrgicos Cardíacos , Endocarditis Bacteriana/tratamiento farmacológico , Ventrículos Cardíacos/microbiología , Humanos , Masculino , Arteria Pulmonar/microbiologíaRESUMEN
We describe a case of hypertrophic cardiomyopathy with mid-left ventricular obstruction and apical aneurysm containing thrombi where live/real time three-dimensional transthoracic echocardiography provided incremental value over two-dimensional echocardiography in assessing the findings.
Asunto(s)
Cardiomiopatía Hipertrófica/diagnóstico por imagen , Ecocardiografía Tridimensional/métodos , Aneurisma Cardíaco/diagnóstico por imagen , Aumento de la Imagen/métodos , Disfunción Ventricular Izquierda/diagnóstico por imagen , Obstrucción del Flujo Ventricular Externo/diagnóstico por imagen , Adulto , Cardiomiopatía Hipertrófica/complicaciones , Sistemas de Computación , Femenino , Aneurisma Cardíaco/etiología , Humanos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Disfunción Ventricular Izquierda/etiología , Obstrucción del Flujo Ventricular Externo/etiologíaRESUMEN
We describe a case of cardiac lymphoma where live/real time three-dimensional transesophageal echocardiography provided additional information compared to two-dimensional transesophageal echocardiography regarding the extent of tumor infiltration. In addition, it gave a quantitative assessment of the tumor burden by providing its volume.
Asunto(s)
Ecocardiografía Tridimensional/métodos , Ecocardiografía Transesofágica/métodos , Neoplasias Cardíacas/patología , Interpretación de Imagen Asistida por Computador/métodos , Linfoma/patología , Sistemas de Computación , Femenino , Humanos , Aumento de la Imagen/métodos , Persona de Mediana Edad , Invasividad Neoplásica , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
We report a case of a right atrial thrombus traversing a patent foramen ovale into the left atrium, where three-dimensional transesophageal echocardiography provided considerable incremental value over two-dimensional transesophageal echocardiography in its assessment. As well as allowing us to better spatially characterize the thrombus, three-dimensional transesophageal echocardiography provided a more quantitative assessment through estimation of total thrombus burden.