1
|
Riad M, Rahman MU, Mulyala R, Sayyed N, Bayer D, Omar B. Percutaneous Intracardiac Mass Extraction in High Surgical-Risk Patients. J Med Cases 2023; 14:362-368. [PMID: 38029057 PMCID: PMC10681765 DOI: 10.14740/jmc4150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 11/03/2023] [Indexed: 12/01/2023] Open
Abstract
Large intracardiac masses including tumors, thrombi, and vegetations result in detrimental embolic or obstructive sequelae and present a management dilemma. Open heart surgery, the traditional approach, may not be an option for many patients with a prohibitive surgical risk due to multiple comorbidities. Recently, percutaneous options have emerged with reported success in extracting such intracardiac masses. A 42-year-old female with history of advanced primary sclerosing cholangitis with decompensated liver cirrhosis causing ascites and variceal bleed presented to the emergency department with fatigue, subjective fevers, chills and melena. Laboratory results revealed neutrophil-predominant leukocytosis and normocytic anemia, and blood cultures were positive for Candida albicans. Electrocardiography showed sinus tachycardia. Chest X-ray was unremarkable. She underwent packed red blood cell transfusion and esophageal banding for variceal bleeding. Transthoracic echocardiogram revealed normal left ventricular ejection fraction and no wall motion abnormalities. A right atrial mobile mass measuring approximately 1.0 × 3.0 cm was noted. Multidisciplinary heart team discussion concluded that while the mass posed a high embolic risk, the patient had a prohibitive risk for surgical intervention. Successful percutaneous removal of the mass using Penumbra system device (Penumbra Incorporated, Alameda, CA) was accomplished. This case report details the procedure and outcomes, as well as presents a literature review.
Collapse
Affiliation(s)
- Mariam Riad
- Cardiology Division, University of South Alabama, Mobile, AL 36617, USA
| | | | | | - Nadia Sayyed
- Department of Internal Medicine, Khyber Medical College, Peshawar, Pakistan
| | - Danielle Bayer
- Cardiology Division, University of South Alabama, Mobile, AL 36617, USA
| | - Bassam Omar
- Cardiology Division, University of South Alabama, Mobile, AL 36617, USA
| |
Collapse
|
2
|
Faletra FF, Agricola E, Flachskampf FA, Hahn R, Pepi M, Ajmone Marsan N, Wunderlich N, Elif Sade L, Donal E, Zamorano JL, Cosyns B, Vannan M, Edvardsen T, Berrebi A, Popescu BA, Lancellotti P, Lang R, Bäck M, Bertrand PB, Dweck M, Keenan N, Stankovic I. Three-dimensional transoesophageal echocardiography: how to use and when to use-a clinical consensus statement from the European Association of Cardiovascular Imaging of the European Society of Cardiology. Eur Heart J Cardiovasc Imaging 2023; 24:e119-e197. [PMID: 37259019 DOI: 10.1093/ehjci/jead090] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 04/11/2023] [Indexed: 06/02/2023] Open
Abstract
Three-dimensional transoesophageal echocardiography (3D TOE) has been rapidly developed in the last 15 years. Currently, 3D TOE is particularly useful as an additional imaging modality for the cardiac echocardiographers in the echo-lab, for cardiac interventionalists as a tool to guide complex catheter-based procedures cardiac, for surgeons to plan surgical strategies, and for cardiac anaesthesiologists and/or cardiologists, to assess intra-operative results. The authors of this document believe that acquiring 3D data set should become a 'standard part' of the TOE examination. This document provides (i) a basic understanding of the physic of 3D TOE technology which enables the echocardiographer to obtain new skills necessary to acquire, manipulate, and interpret 3D data sets, (ii) a description of valvular pathologies, and (iii) a description of non-valvular pathologies in which 3D TOE has shown to be a diagnostic tool particularly valuable. This document has a new format: instead of figures randomly positioned through the text, it has been organized in tables which include figures. We believe that this arrangement makes easier the lecture by clinical cardiologists and practising echocardiographers.
Collapse
Affiliation(s)
- Francesco F Faletra
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Eustachio Agricola
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Frank A Flachskampf
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Rebecca Hahn
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Mauro Pepi
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Nina Ajmone Marsan
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Nina Wunderlich
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Leyla Elif Sade
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Erwan Donal
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Jose-Luis Zamorano
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Bernard Cosyns
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Mani Vannan
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Thor Edvardsen
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Alain Berrebi
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Bogdan A Popescu
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Patrizio Lancellotti
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Roberto Lang
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Magnus Bäck
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Philippe B Bertrand
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Marc Dweck
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Niall Keenan
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| | - Ivan Stankovic
- Division of Cardiology, ISMETT: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Lugano 6900, Switzerland
| |
Collapse
|
3
|
Collado-Rivera CJ, Vojniku K, Sharma M, Fernandez HA, Kaell AT. Cardiac Papillary Fibroelastoma: Atypical Presentation Mimicking Infective Endocarditis With False Positive Commensal Blood Cultures. Cureus 2023; 15:e42660. [PMID: 37644918 PMCID: PMC10462397 DOI: 10.7759/cureus.42660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2023] [Indexed: 08/31/2023] Open
Abstract
Cardiac papillary fibroelastomas (CPFs) are rare benign cardiac neoplasms that carry a high risk of embolization if not diagnosed and managed in a timely manner. As most patients are asymptomatic, CPF may be incidentally detected on transthoracic echocardiography (TTE) when performed for other indications. Management of incidental CPF in asymptomatic patients is debatable. We report an unusual case of an incidental CPF in an asymptomatic patient admitted to the hospital for presumed infective endocarditis (IE). Two weeks following laser resection of laryngeal cancer (LC), a new pansystolic murmur was audible during a routine cardiology visit. Outpatient TTE revealed a "vegetation-like" lesion on the mitral valve (MV). Blood cultures (BC) with Gram-positive cocci in clusters (GPC) were reported within 24 hours. This prompted hospital admission for empiric antibiotics. A transesophageal echocardiogram (TEE) confirmed the lesion to be an echogenic mass attached to the MV consistent with CPF. Repeat BC, prior to empiric antibiotic initiation, were all negative. In the absence of all other signs and symptoms of IE, it was determined that the initial BC was false positive and IE was ruled out. Surgical resection was performed due to the potential risk of embolization. The pathology confirmed the diagnosis of CPF with negative tissue cultures.
Collapse
Affiliation(s)
| | - Krisela Vojniku
- Internal Medicine, Mather Hospital Northwell Health, Port Jefferson, USA
| | - Mohit Sharma
- Cardiology, Mather Hospital Northwell Health, Port Jefferson, USA
| | - Harold A Fernandez
- Cardiothoracic Surgery, South Shore University Hospital Northwell Health, Bay Shore, USA
| | - Alan T Kaell
- Internal Medicine, Mather Hospital Northwell Health, Port Jefferson, USA
| |
Collapse
|
4
|
Topel Ç, Sevinç S, Onan B, Yıldız M, Güler GB. Cardiac hemangioma in a difficult anatomical location presented with ventricular tachycardia. A rare case report. Echocardiography 2020; 38:118-122. [PMID: 33270934 DOI: 10.1111/echo.14954] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/16/2020] [Accepted: 11/17/2020] [Indexed: 01/02/2023] Open
Abstract
Cardiac hemangioma is a benign and rare primary tumor of the heart. Though it has benign histopathological features, its complications can be life-threatening. We report a young adult male without any prior structural heart disease or medical history who presented with ventricular tachyarrhythmia. Echocardiography revealed an echogenic mass located intramurally in the left lateral ventricle and its distinctive characteristics were revealed with further imaging modalities. Though simple complete removal of the mass is the preferred treatment, its firm texture and thinned encircling myocardium prevented the total excision. In this case report, we discussed cardiac hemangioma, its potential complications and treatment options.
Collapse
Affiliation(s)
- Çağdaş Topel
- Deparment of Cardiovascular Radiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Samet Sevinç
- Deparment of Cardiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Burak Onan
- Deparment of Cardiovascular Surgery, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Yıldız
- Deparment of Cardiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Gamze Babur Güler
- Deparment of Cardiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey
| |
Collapse
|
5
|
Boz E, Papa M, Claretti M, Bussadori R, Serrano Lopez B, Rossi C, Mazzoni L, Pradelli D, Bussadori CM. Real-time three-dimensional echocardiographic study of a cardiac hemangiosarcoma in a dog. J Vet Cardiol 2020; 28:31-36. [PMID: 32182572 DOI: 10.1016/j.jvc.2020.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 01/07/2020] [Accepted: 02/11/2020] [Indexed: 10/25/2022]
Abstract
A 7-year-old Golden Retriever was presented for a second opinion regarding a cardiac mass. Two-dimensional transthoracic echocardiography demonstrated presence of a mass in the area of the right atrium. The mass appeared adherent and possibly infiltrative to the external wall of the right atrium. Three-dimensional transthoracic echocardiography allowed better visualization of the neoplasia, suggesting that it was not infiltrative and contributed significantly to the decision to carry out the surgical resection of the cardiac tumor. This case report demonstrates the use of three-dimensional transthoracic echocardiography in the diagnostic evaluation of cardiac masses in dogs without the need for general anesthesia.
Collapse
Affiliation(s)
- E Boz
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy.
| | - M Papa
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - M Claretti
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - R Bussadori
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - B Serrano Lopez
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - C Rossi
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - L Mazzoni
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - D Pradelli
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - C M Bussadori
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| |
Collapse
|
6
|
Vandenheuvel M, Bouchez S, Wouters P, Mauermann E. Assessing Right Ventricular Function in the Perioperative Setting, Part II: What About Catheters? Anesthesiol Clin 2019; 37:697-712. [PMID: 31677686 DOI: 10.1016/j.anclin.2019.08.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
An-depth assessment of right ventricular function is important in a many perioperative settings. After exploring 2-dimensional echo-based evaluation, other proposed monitoring modalities are discussed. Pressure-based methods of right ventricular appraisal is discussed. Flow-based assessment is reviewed. An overview of the state of current right ventricular 3-dimensional echocardiography and its potential to construct clinical pressure-volume loops in conjunction with pressure measurements is provided. An overview of right ventricular assessment modalities that do not rely on 2-dimensional echocardiography is discussed. Tailored selection of monitoring modalities can be of great benefit for the perioperative physician. Integrating modalities offers optimal estimations of right ventricular function.
Collapse
Affiliation(s)
- Michael Vandenheuvel
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, C. Heymanslaan 10, Ghent 9000, Belgium
| | - Stefaan Bouchez
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, C. Heymanslaan 10, Ghent 9000, Belgium
| | - Patrick Wouters
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, C. Heymanslaan 10, Ghent 9000, Belgium
| | - Eckhard Mauermann
- Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, C. Heymanslaan 10, Ghent 9000, Belgium; Department for Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, Basel University Hospital, Spitalstrasse 21, Basel 4031, Switzerland.
| |
Collapse
|
7
|
Duman U, Furat C, Keskin G, Kahraman D, Hafiz E. Outcomes of Patients with Cardiac Myxoma: A Retrospective Multicentre Study. Open Cardiovasc Med J 2019. [DOI: 10.2174/1874192401913010024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:We present a 15-year follow-up of patients with Cardiac Myxoma (CM) who underwent tumour resection.Patients and Methods:Between 2001 and 2016, 38 patients with CM were operated on. We retrospectively reviewed, their clinical presentations. We also analysed the echocardiographic, electrocardiographic and pathology reports.Results:No mortality was seen after surgery. The mean age of the patients was 41.7±7.8 years and the female/male ratio was 22/16. Two patients with CM were children. The main symptoms of left atrial CM were dyspnoea on exertion, chest pain and congestive heart failure. Tricuspid valve pathology, and leg oedema were the main symptoms in patients with right atrial CM combined with right heart failure. CM as a cause of nephrotic syndrome was detected in 2 patients. In 5 asymptomatic patients (13.1%), CM was detected incidentally. We detected a pericardial invasion by the tumour in 1 patient. We performed secondary surgery because of tumour recurrence in 2 patients. Overall, survival for patients after surgical excision was 96.4±1.6% at 1 year, 91.7±2.4% at 5 years, 87.6±2.6% at 10 years and 85±1.9% at 15 years.Conclusion:The symptoms of CM may include congestive heart failure or nephrotic syndrome. Because CM may be associated with serious cardiac symptoms, tumour excision should be performed immediately after diagnosis. The use of right anterior thoracotomy for CM resection is a safe surgical approach.
Collapse
|
8
|
Moussa Pacha H, Al-khadra Y, Soud M, Darmoch F, Moussa Pacha A, Alraies MC. Percutaneous devices for left atrial appendage occlusion: A contemporary review. World J Cardiol 2019; 11:57-70. [PMID: 30820276 PMCID: PMC6391622 DOI: 10.4330/wjc.v11.i2.57] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Revised: 12/12/2018] [Accepted: 12/17/2018] [Indexed: 02/06/2023] Open
Abstract
Patient with atrial fibrillation (AF) are at risk of developing stroke with the left atrial appendage (LAA) being the most common site for thrombus formation. If left untreated, AF is associated with 4 to 5 folds increase in the risk of ischemic stroke in all age groups. About 5% to 15% of AF patients have atrial thrombi on transesophageal echocardiography, and 91% of those thrombi are located in the LAA in patient with nonrheumatic AF. Although oral anticoagulants are the gold-standard treatment for stroke prevention in patients with non-valvular AF, some patients are at high risk of bleeding and deemed not candidates for anticoagulation. Therefore, LAA occlusion (LAAO) has emerged as alternative approach for stroke prevention in those patients. Surgical LAAO is associated with high rate of unsuccessful closure and recommended only in patients with AF and undergoing cardiac surgery. Percutaneous LAAO uses transvenous access with trans-septal puncture and was first tested using the PLAATO device. Watchman is the most common and only Food and Drug Administration (FDA) approved device for LAAO. LAAO using Watchman device is non-inferior to warfarin therapy in preventing ischemic stroke/systemic thromboembolism. However, it is associated with lower rates of hemorrhagic stroke, bleeding and death. Amplatzer is another successful LAAO device that has CE mark and is waiting for FDA approval. Optimal antithrombotic therapy post LAAO is still under debate and highly patient-specific. The aim of this paper is to systematically review the current literature to evaluate the efficacy and safety of different LAAO devices.
Collapse
Affiliation(s)
| | - Yasser Al-khadra
- Cleveland Clinic, Medicine Institute, Cleveland, OH 44195, United States
| | - Mohamad Soud
- MedStar Washington Hospital Center, Washington, DC 20010, United States
| | - Fahed Darmoch
- Beth Israel Deaconess Medical center/Harvard Medical School, Boston, MA 02215, United States
| | | | - M Chadi Alraies
- Wayne State University, Detroit Medical Center, Detroit Heart Hospital, Detroit, MI 48201, United States
| |
Collapse
|
9
|
Colin GC, Gerber BL, Amzulescu M, Bogaert J. Cardiac myxoma: a contemporary multimodality imaging review. Int J Cardiovasc Imaging 2018; 34:1789-1808. [DOI: 10.1007/s10554-018-1396-z] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 06/12/2018] [Indexed: 12/11/2022]
|
10
|
Anand S, Sydow N, Janardhanan R. Papillary fibroelastoma diagnosed through multimodality cardiac imaging: a rare tumour in an uncommon location with review of literature. BMJ Case Rep 2017; 2017:bcr-2017-219327. [PMID: 28794051 DOI: 10.1136/bcr-2017-219327] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We describe the case of a woman presenting with transient ischaemic attack, who was found to have a papillary fibroelastoma arising from the aortic wall, an extremely rare location. We describe the multimodality imaging techniques used in diagnosing this patient and review the most recent literature on evaluation and management of patients with cardiac papillary fibroelastomas.
Collapse
Affiliation(s)
- Senthil Anand
- Cardiology, Sarver Heart Centre, Tucson, Arizona, USA
| | - Nicole Sydow
- Cardiology, Sarver Heart Centre, Tucson, Arizona, USA
| | | |
Collapse
|
11
|
Suresh R, Boor PJ, Al-Dossari GA, Abu-Sharifeh T, Venkatachalam S, Berbarie RF. Utility of real-time three-dimensional echocardiography in improved assessment of a mitral valve papillary fibroelastoma. Clin Case Rep 2017; 5:1193-1195. [PMID: 28680627 PMCID: PMC5494387 DOI: 10.1002/ccr3.996] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 04/05/2017] [Accepted: 04/11/2017] [Indexed: 11/30/2022] Open
Abstract
Primary cardiac tumors are exceedingly rare. They are usually first identified by transthoracic echocardiography. However, transesophageal echocardiography (TEE), with the aid of real‐time three‐dimensional (3D) imaging, can provide additional important mass characteristics. We present a case that demonstrates the usefulness of 3D TEE in characterizing a papillary fibroelastoma.
Collapse
Affiliation(s)
- Rahul Suresh
- Department of Internal Medicine University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| | - Paul J Boor
- Department of Pathology University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| | - Ghannam A Al-Dossari
- Division of Cardiothoracic Surgery Department of Surgery University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| | - Tareq Abu-Sharifeh
- Division of Cardiology Department of Internal Medicine University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| | - Sridhar Venkatachalam
- Division of Cardiology Department of Internal Medicine University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| | - Rafic F Berbarie
- Division of Cardiology Department of Internal Medicine University of Texas Medical Branch 301 University Blvd Galveston 77555 Texas
| |
Collapse
|
12
|
Vegas A. Three-dimensional transesophageal echocardiography: Principles and clinical applications. Ann Card Anaesth 2017; 19:S35-S43. [PMID: 27762247 PMCID: PMC5100241 DOI: 10.4103/0971-9784.192622] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
A basic understanding of evolving 3D technology enables the echocardiographer to master the new skills necessary to acquire, manipulate, and interpret 3D datasets. Single button activation of specific 3D imaging modes for both TEE and transthoracic echocardiography (TTE) matrix array probes include (a) live, (b) zoom, (c) full volume (FV), and (d) color Doppler FV. Evaluation of regional LV wall motion by RT 3D TEE is based on a change in LV chamber subvolume over time from altered segmental myocardial contractility. Unlike standard 2D TEE, there is no direct measurement of myocardial thickening or displacement of individual segments.
Collapse
Affiliation(s)
- Annette Vegas
- Senior Consultant, Department of Anaesthesia, Toronto General Hospital, Toronto, Ontario, Canada
| |
Collapse
|
13
|
Bouchez S, Mauermann E, Philipsen T, Wouters P. 3D Echocardiographic Diagnosis of Right Ventricular Perforation With Polymethylmethacrylate Particles After Vertebroplasty. J Cardiothorac Vasc Anesth 2017; 31:2123-2126. [PMID: 28526207 DOI: 10.1053/j.jvca.2017.02.053] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2016] [Indexed: 12/31/2022]
Affiliation(s)
- Stefaan Bouchez
- Department of Anesthesia, Ghent University Hospital, Ghent, Belgium
| | - Eckhard Mauermann
- Department of Anesthesia, Ghent University Hospital, Ghent, Belgium.
| | - Tine Philipsen
- Department of Cardiac Surgery, Ghent University Hospital, Ghent, Belgium
| | - Patrick Wouters
- Department of Anesthesia, Ghent University Hospital, Ghent, Belgium
| |
Collapse
|
14
|
|
15
|
Kim HY, Baek SH, Yoon JU, Lee DH, Byeon GJ, Ahn JH. Cardiac arrest during radical nephrectomy due to a mass in the right ventricular outflow tract. J Clin Anesth 2016; 33:156-9. [PMID: 27555152 DOI: 10.1016/j.jclinane.2016.02.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 02/17/2016] [Accepted: 02/18/2016] [Indexed: 01/15/2023]
Abstract
We report cardiac arrest due to obstruction of the right ventricular outflow tract (RVOT) caused by an RVOT mass that was not identified preoperatively. A 62-year-old woman with renal cell carcinoma (RCC) experienced deteriorating hypotension and bradycardia during radical nephrectomy. Hemodynamic stability was maintained on extracorporeal membrane oxygenation, and after surgery, she was transferred to the intensive care unit. On postoperative day 3, transthoracic echocardiography showed an intracardiac mass obstructing the RVOT, which caused severe functional pulmonary stenosis and moderate resting pulmonary hypertension. Despite maintaining extracorporeal membrane oxygenation, the patient died of cardiac arrest. Our findings suggest that it may be necessary to perform additional tests if RCC has invaded the renal vein and inferior vena cava or if a patient with RCC has abnormal cardiovascular symptoms without definite etiology for exclusion of cardiac metastasis or tumor thrombus. In addition, intraoperative transesophageal echocardiography might be the procedure of choice for the evaluation of these conditions because other diagnostic tests are difficult to perform during surgery. In conclusion, for patients with acute hemodynamic instability for whom other possible causes have been excluded, we recommend that anesthesiologists use transesophageal echocardiography to detect outflow tract obstruction or pulmonary thromboembolism and perform anesthetic management.
Collapse
Affiliation(s)
- Hee Young Kim
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Seung-Hoon Baek
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
| | - Ji Uk Yoon
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Dong Hoon Lee
- Department of Urology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Gyeong-Jo Byeon
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Ji Hye Ahn
- Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| |
Collapse
|
16
|
|
17
|
Wunderlich NC, Beigel R, Swaans MJ, Ho SY, Siegel RJ. Percutaneous interventions for left atrial appendage exclusion: options, assessment, and imaging using 2D and 3D echocardiography. JACC Cardiovasc Imaging 2016; 8:472-488. [PMID: 25882576 DOI: 10.1016/j.jcmg.2015.02.002] [Citation(s) in RCA: 99] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Revised: 01/22/2015] [Accepted: 02/05/2015] [Indexed: 12/26/2022]
Abstract
Percutaneous left atrial appendage (LAA) exclusion is an evolving treatment to prevent embolic events in patients with nonvalvular atrial fibrillation. In the past few years multiple percutaneous devices have been developed to exclude the LAA from the body of the left atrium and thus from the systemic circulation. Two- and 3-dimensional transesophageal echocardiography (TEE) is used to assess the LAA anatomy and its suitability for percutaneous closure to select the type and size of the closure device and to guide the device implantation procedure in conjunction with fluoroscopy. In addition, 2- and 3-dimensional TEE is also used to assess the effectiveness of device implantation acutely and on subsequent follow-up examination. Knowledge of the implantation options that are currently available along with their specific characteristics is essential for choosing the appropriate device for a given patient with a specific LAA anatomy. We present the currently available LAA exclusion devices and the echocardiographic imaging approaches for evaluation of the LAA before, during, and after LAA occlusion.
Collapse
Affiliation(s)
| | - Roy Beigel
- The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California; The Heart Institute, Sheba Medical Center, and the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Martin J Swaans
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands
| | - Siew Yen Ho
- Cardiac Morphology Unit, Royal Brompton Hospital, London, United Kingdom
| | - Robert J Siegel
- The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
| |
Collapse
|
18
|
Shah R, John E, Fan THM, Ruff G, Rehan Khan M, Holt LC. A Patient with Metastatic Small-Cell Lung Cancer and Giant Right Ventricular Mass. Echocardiography 2015; 33:491-3. [PMID: 26577757 DOI: 10.1111/echo.13105] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Rahman Shah
- Section of Cardiology, University of Tennessee, School of Medicine, Memphis, Tennessee.,Department of Radiology, Veterans Affairs Medical Center, Memphis, Tennessee
| | - Elizabeth John
- Section of Cardiology, University of Tennessee, School of Medicine, Memphis, Tennessee
| | - Tai-Hwang M Fan
- Section of Cardiology, University of Tennessee, School of Medicine, Memphis, Tennessee.,Department of Radiology, Veterans Affairs Medical Center, Memphis, Tennessee
| | - Genina Ruff
- Department of Radiology, Veterans Affairs Medical Center, Memphis, Tennessee
| | - M Rehan Khan
- Virginia Commonwealth University, School of Medicine, Richmond, Virginia
| | - Lee C Holt
- Department of Radiology, Veterans Affairs Medical Center, Memphis, Tennessee
| |
Collapse
|
19
|
Beigel R, Wunderlich NC, Ho SY, Arsanjani R, Siegel RJ. The left atrial appendage: anatomy, function, and noninvasive evaluation. JACC Cardiovasc Imaging 2015; 7:1251-65. [PMID: 25496544 DOI: 10.1016/j.jcmg.2014.08.009] [Citation(s) in RCA: 289] [Impact Index Per Article: 32.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2014] [Revised: 08/12/2014] [Accepted: 08/20/2014] [Indexed: 12/23/2022]
Abstract
The left atrial appendage (LAA) is a finger-like extension originating from the main body of the left atrium. Atrial fibrillation (AF) is the most common clinically important cardiac arrhythmia, occurring in approximately 0.4% to 1% of the general population and increasing with age to >8% in those >80 years of age. In the presence of AF thrombus, formation often occurs within the LAA because of reduced contractility and stasis; thus, attention should be given to the LAA when evaluating and assessing patients with AF to determine the risk for cardioembolic complications. It is clinically important to understand LAA anatomy and function. It is also critical to choose the optimal imaging techniques to identify or exclude LAA thrombi in the setting of AF, before cardioversion, and with current and emerging transcatheter therapies, which include mitral balloon valvuloplasty, pulmonary vein isolation, MitraClip (Abbott Laboratories, Abbott Park, Illinois) valve repair, and the implantation of LAA occlusion and exclusion devices. In this review, we present the current data regarding LAA anatomy, LAA function, and LAA imaging using the currently available noninvasive imaging modalities.
Collapse
Affiliation(s)
- Roy Beigel
- The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California; The Heart Institute, Sheba Medical Center, and the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Siew Yen Ho
- Cardiac Morphology Unit, Royal Brompton Hospital, London, England
| | - Reza Arsanjani
- The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Robert J Siegel
- The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
| |
Collapse
|
20
|
Lin Y, Xiao J, Chen J, Hong J, Peng H, Kang B, Wu L, Wang Z. Treating cardiac myxomas: a 16-year Chinese single-center study. J Cardiovasc Med (Hagerstown) 2014; 17:44-53. [PMID: 24933197 DOI: 10.2459/jcm.0000000000000114] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
AIMS Currently, myxoma is the most common type of primary cardiac tumor diagnosed. This article describes the experience over the past 16 years with cases of cardiac myxoma in Chinese patients and elucidated the differences between solid and papillary myxomas. METHODS The clinical details of 68 patients with cardiac myxomas who underwent surgery between January 1996 and January 2012 at our center were retrospectively analyzed. RESULTS The left atrium was the primary tumor site in 88% of the patients included in this study. The most common implant site was the interatrial septum (69%), especially for patients with solid tumors. Common clinical symptoms included dyspnea and palpitation, whereas embolic events occurred in 12 patients. Myxoma resection involved a midline sternotomy utilizing cardiopulmonary bypass. According to pathological classification, solid myxomas were present in 28 patients (47%), whereas papillary myxomas were detected in 40 patients (53%). In the solid group, arrhythmias and a larger tumor volume were more common. Correspondingly, in 97.4 ± 2.5% of cases, secondary surgery was not needed after 10 years. Overall, the actuarial survival for patients undergoing surgical excision of myxoma was 98.4 ± 1.6% at 5 years and 96.0 ± 2.8% at 10 years. CONCLUSION Solid myxomas were associated with more arrhythmias, a larger tumor volume, implantation in the interatrial septum, and a need for concomitant surgery compared with papillary myxomas. Further studies should determine whether serum or histological markers could be routinely used in combination with echocardiograms, MRI and computed tomography for the predictions of recurrent myxomas during annual follow-up examinations.
Collapse
Affiliation(s)
- Yiyun Lin
- aGeneral Hospital of Beijing Military Command, Nanmencang, Beijing bChangzheng Hospital, Second Military Medical University, Fengyang Road, Shanghai, China *Yiyun Lin and Jian Xiao contributed equally to this article
| | | | | | | | | | | | | | | |
Collapse
|
21
|
Garcia B, Ancedy Y, Delannoy E, Fauchier L. An atypical intracardiac mass in a 61-year-old man. Heart 2014; 100:985, 987. [PMID: 24842836 DOI: 10.1136/heartjnl-2014-305505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Bruno Garcia
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Yann Ancedy
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Eric Delannoy
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| | - Laurent Fauchier
- Service de Cardiologie, Pôle Cœur Thorax Vasculaire, Trousseau et Faculté de Médecine, Centre Hospitalier Universitaire, Université François Rabelais, Tours, France
| |
Collapse
|
22
|
Marek D, Vindis D, Kocianova E. Real time 3-dimensional transesophageal echocardiography is more specific than 2-dimensional TEE in the assessment of left atrial appendage thrombosis. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2013; 157:22-6. [DOI: 10.5507/bp.2012.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2011] [Accepted: 01/12/2012] [Indexed: 11/23/2022] Open
|
23
|
Demirkol S, Yesil FG, Bozlar U, Unlu M, Balta S, Sahin MA. Multimodality imaging of a right atrial thrombus obliterating inferior vena cava. Echocardiography 2013; 30:E145-7. [PMID: 23346892 DOI: 10.1111/echo.12129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Sait Demirkol
- Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, Etlik-Ankara, Turkey.
| | | | | | | | | | | |
Collapse
|
24
|
Vanichakarn P, Beaver TA, Costa SP, Czum JM, Palac RT. An unusual left atrial mass in hypertrophic cardiomyopathy: the role of multimodality imaging. Echocardiography 2013; 30:E111-3. [PMID: 23305199 DOI: 10.1111/echo.12097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Pantila Vanichakarn
- Department of Cardiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
| | | | | | | | | |
Collapse
|
25
|
Zaragoza-Macias E, Zaragosa-Macias E, Chen MA, Gill EA. Real time three-dimensional echocardiography evaluation of intracardiac masses. Echocardiography 2012; 29:207-19. [PMID: 22283202 DOI: 10.1111/j.1540-8175.2011.01627.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The evaluation of cardiac masses is often a challenge for cardiac imaging techniques. The traditional standby has been two-dimensional echocardiography (2DE). Real time three-dimensional echocardiography (RT3DE) offers incremental value for the evaluation of intracardiac masses by providing more accurate assessment of the size and shape of the mass as well as in some cases, composition of the mass. RT3DE aids with the relationship between the mass and adjacent structures. Therefore, here we discuss the subject of RT3DE evaluation of cardiac masses is reviewed and discussed in detail.
Collapse
Affiliation(s)
- Elisa Zaragoza-Macias
- Department of Medicine, Division of Cardiology, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
| | | | | | | |
Collapse
|
26
|
Erturk E, Ozkan M, Gursoy OM, Tuncer A. Parachute-like mass at the superior vena cava occurring after diagnostic right heart catheterization evaluated with real-time three-dimensional transesophageal echocardiography. J Echocardiogr 2012; 10:79-80. [PMID: 27278052 DOI: 10.1007/s12574-012-0120-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2012] [Revised: 03/07/2012] [Accepted: 03/15/2012] [Indexed: 11/24/2022]
Affiliation(s)
- Emre Erturk
- Department of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Denizer Caddesi Cevizli Kavsagi, No: 2 Cevizli/Kartal, Istanbul, 34846, Turkey
| | - Mehmet Ozkan
- Department of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Denizer Caddesi Cevizli Kavsagi, No: 2 Cevizli/Kartal, Istanbul, 34846, Turkey
| | - Ozan M Gursoy
- Department of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Denizer Caddesi Cevizli Kavsagi, No: 2 Cevizli/Kartal, Istanbul, 34846, Turkey.
| | - Altug Tuncer
- Department of Cardiovascular Surgery, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, Turkey
| |
Collapse
|
27
|
Ahlgren B, Dorosz J, Rohrer A, Reece B, Cleveland J, Salcedo E, Seres T. Real time three-dimensional transesophageal echocardiography in the evaluation of two cases of rare mitral valve tumors. Echocardiography 2012; 29:1011-5. [PMID: 22640169 DOI: 10.1111/j.1540-8175.2012.01716.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Bryan Ahlgren
- Department of Anesthesiology, University of Colorado Hospital, Aurora, Colorado, USA.
| | | | | | | | | | | | | |
Collapse
|
28
|
Urheim S, Andersen K, Aakhus S. Tredimensjonal ultralydundersøkelse i kardiologisk diagnostikk. TIDSSKRIFT FOR DEN NORSKE LEGEFORENING 2012; 132:2171-4. [DOI: 10.4045/tidsskr.11.0410] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
|
29
|
Bonnichsen CR, Burkhart HM, Klarich KW, Suri RM. Surgical Resection of Mitral Valve Papillary Fibroelastoma: A Robot-Assisted, Minimally Invasive Approach with Three-Dimensional Transesophageal Echocardiography Imaging. ACTA ACUST UNITED AC 2012. [DOI: 10.4236/wjcs.2012.22004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
30
|
Khairnar P, Hsiung MC, Mishra S, Nanda NC, Daly DD, Nayyar G, Patel A, Mishra J, Chuang YC, Tsai SK, Yin WH, Wei J. The Ability of Live Three-Dimensional Transesophageal Echocardiography to Evaluate the Attachment Site of Intracardiac Tumors. Echocardiography 2011; 28:1041-5. [DOI: 10.1111/j.1540-8175.2011.01506.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
31
|
Michalski B, Kasprzak JD, Lipiec P. Usefulness of three-dimensional echocardiography for evaluation of pathological mass in the right atrium. Echocardiography 2011; 28:E79-81. [PMID: 21349104 DOI: 10.1111/j.1540-8175.2010.01331.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
The authors present a case of 51-year-old male patient with symptoms of congestive heart failure. Two-dimensional transthoracic echocardiography (2D TTE) at the time of admission revealed a spherical, highly mobile structure in the right atrium (4.5 cm in diameter). Despite using multiple views it was impossible to distinguish if this structure had a stalk or was free-floating. The real time three-dimensional transthoracic echocardiography (3D TTE) revealed the presence of thin stalk attached to the roof of the right atrium. Guidance of 2D TTE by 3D TTE findings finally allowed the recognition of the stalk in modified subcostal view.
Collapse
Affiliation(s)
- Błażej Michalski
- II Chair and Department of Cardiology, Medical University of Łódź, Łódź, Poland.
| | | | | |
Collapse
|
32
|
Kodali S, Yamrozik J, Biederman RW. Left Atrial Thrombus Masquerading as a Myxoma in a Patient with Mitral Stenosis. Echocardiography 2010; 27:E98-101. [DOI: 10.1111/j.1540-8175.2010.01211.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
33
|
Deegan CA, Griffin MJ. Clinical utility of intraoperative 2D and 3D transesophageal echocardiography in the assessment of a left atrial mass during pneumonectomy. J Cardiothorac Vasc Anesth 2010; 25:833-5. [PMID: 20864359 DOI: 10.1053/j.jvca.2010.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2010] [Indexed: 11/11/2022]
Affiliation(s)
- Catherine A Deegan
- Department of Anesthesia and Intensive Care Medicine, Mater Misericordiae University Hospital, Dublin,
| | | |
Collapse
|
34
|
Three-Dimensional Transesophageal Echocardiography Is a Major Advance for Intraoperative Clinical Management of Patients Undergoing Cardiac Surgery. Anesth Analg 2010; 110:1548-73. [DOI: 10.1213/ane.0b013e3181d41be7] [Citation(s) in RCA: 92] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
|
35
|
Evaluation of intracardiac masses using three-dimensional echocardiography. CURRENT CARDIOVASCULAR IMAGING REPORTS 2009. [DOI: 10.1007/s12410-009-0041-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
36
|
Abstract
PURPOSE OF REVIEW Three-dimensional echocardiography (3DE) is an additional ultrasound modality that is poised to become an integral part of the routine echocardiogram. Incorporating 3DE into clinical daily practice continues to be a challenge for many laboratories. The following review will focus on workflow processes related to methodology and protocols in order to incorporate 3DE into clinical practice. RECENT FINDINGS Several studies have shown the clinical utility and feasibility of both transthoracic and transesophageal 3DE. In addition, many centers performing 3DE studies utilize a focused 3DE protocol as opposed to a full 3DE protocol. A majority of the studies noted limitations with respect to artifacts inherent in gated imaging and preferred real-time 3DE or rather volume imaging. A recurrent message from several recent publications is that the ultimate success and widespread clinical application of 3DE will rely mainly on improved 3D image resolution and volume rates. SUMMARY Continuous technology improvements have led to real-time full-volume 3D imaging that is no longer prone to the artifact issues encountered with gated 3D imaging. Additional improvements to 3DE image quality and time-saving automatic quantitative analysis tools will continue to define the emerging role for routine 3DE.
Collapse
|
37
|
|