RESUMO
A wide perspective of the cardiac applications of magnetic resonance is presented in this report, including technical aspects of the practice, recommendations on the appropriate training of medical personnel for the practice of examination and also, an extensively commented review of the accepted clinical indications for the practice of a cardiac magnetic resonance imaging study at present.
Assuntos
Cardiopatias/patologia , Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/instrumentação , Imageamento por Ressonância Magnética/métodosRESUMO
The performance of peroperative transesophageal echocardiography on a 60 year old woman with mitral and tricuspid valve disease discovered a previously undiagnosed thrombus in the right pulmonary artery that completely occluded the inferior lobar branches. Following valvular surgery, a successful thromboendarterectomy was performed.
Assuntos
Ecocardiografia Transesofagiana , Insuficiência da Valva Mitral/complicações , Artéria Pulmonar/diagnóstico por imagem , Trombose/diagnóstico por imagem , Insuficiência da Valva Tricúspide/complicações , Feminino , Humanos , Cuidados Intraoperatórios , Trombose/etiologiaAssuntos
Ecocardiografia Doppler , Doenças das Valvas Cardíacas/diagnóstico , Pressão Sanguínea , Cateterismo Cardíaco , Doença das Coronárias/complicações , Doença das Coronárias/diagnóstico por imagem , Esôfago , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/fisiopatologia , Doenças das Valvas Cardíacas/cirurgia , Humanos , Cuidados Pré-Operatórios , Artéria Pulmonar/fisiologia , Radiografia , Índice de Gravidade de Doença , Fatores de TempoAssuntos
Próteses Valvulares Cardíacas , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Falha de Prótese , Estudos Retrospectivos , Deiscência da Ferida Operatória/etiologia , Deiscência da Ferida Operatória/mortalidade , Trombose/etiologia , Trombose/mortalidade , Fatores de TempoRESUMO
A prospective pulsed Doppler study of 55 patients was undertaken to detect and quantitate mitral regurgitation. Systolic left atrial flow dispersion indicated mitral regurgitation. Doppler study was feasible in nearly 95% of patients. Sensitivity, specificity and predictive accuracy were 89%, 84% and 88%, respectively. Three methods were used to quantitate mitral regurgitation: (1) maximal depth level of systolic left atrial flow, (2) left atrial flow patterns immediately behind the mitral valve closure line (I, protosystolic; II, gradual decrease in intensity of left atrial flow signal throughout systole; and III, broad flow dispersion occupying all systole); and (3) a score system that combined these 2 methods. Results showed that flow patterns behind the mitral valve closure line correlate with angiographic assessment of mitral regurgitation. This provided the simplest and most practical method of determining the severity of mitral regurgitation.