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Imaging in heart failure: role of preoperative imaging and intraoperative transesophageal echocardiography for heart failure surgery. Int Anesthesiol Clin 2012; 50:55-82. [PMID: 22735720 DOI: 10.1097/aia.0b013e31825d8d80] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Puskas F, Cleveland JC, Singh R, Weitzel NS, Reece TB, Shull R, Salcedo EE, Seres T. Detection of Left Ventricular Apical Thrombus With Three-Dimensional Transesophageal Echocardiography. Semin Cardiothorac Vasc Anesth 2011; 15:102-4. [DOI: 10.1177/1089253211418532] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective. Left ventricular (LV) thrombosis persists as a clinical challenge in echocardiographic diagnosis and is an important risk factor for perioperative embolic events in cardiac surgery. Appropriate detection and monitoring when thrombus is suspected is critical in surgical planning and in avoiding catastrophic patient outcomes. Case Presentation. The authors present a case of a laminated LV apical thrombus, which was discovered intraoperatively by real-time 3-dimensional (3D) transesophageal echocardiography. Clinical Challenges. The clinical challenges were ( a) LV thrombosis impact on surgical management, ( b) key echocardiographic challenges in diagnosing LV thrombosis, and ( c) role of 3D echocardiography in the diagnostic algorithm. Conclusion. Because of the lack of a gold standard, 2D transthoracic echocardiography remains the imaging modality of choice in assessment; however, there is increasing evidence that 3D technology can be more accurate in intracardiac mass detection and should be considered in the diagnostic algorithm.
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Affiliation(s)
| | | | | | | | | | | | | | - Tamas Seres
- University of Colorado Denver, Aurora, CO, USA
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Surgical approach to a left ventricular mass guided by transesophageal echocardiography. Anesth Analg 2009; 108:1465-6. [PMID: 19372321 DOI: 10.1213/ane.0b013e31819cadc2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Russell C, Swistel DG, Anca D, Hillel Z, Wasnick JD. A missing left ventricular mass. J Cardiothorac Vasc Anesth 2009; 24:196-7. [PMID: 19264511 DOI: 10.1053/j.jvca.2009.01.001] [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: 12/02/2008] [Indexed: 11/11/2022]
Affiliation(s)
- Cortessa Russell
- Department of Anesthesiology, Saint Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, 1000 Amsterdam Avenue, New York, NY 10025, USA.
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