共查询到20条相似文献,搜索用时 15 毫秒
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Sharad Chandra M.D. D.M. F.A.C.C. Deepak Ameta M.D. Rajiv Bharat Kharwar M.D. Mukesh Goyal M.D. Devesh Kumar M.D. Sudhanshu Kumar Dwivedi M.D. D.M. Ram Kirti Saran M.D. D.M. F.A.C.C. 《Echocardiography (Mount Kisco, N.Y.)》2013,30(10):E326-E330
Aorto‐atrial fistulas are rare, but important complications resulting from aortic valve infective endocarditis, aortic valve surgery, or aortic dissection. We hereby report a case of a 20‐year male, referred to us with infective endocarditis of the native aortic valve with severe aortic regurgitation and symptoms of heart failure. Detailed evaluation with two‐dimensional and three‐dimensional transthoracic echocardiography revealed aorto‐left atrial fistula secondary to the involvement of the mitral–aortic intervalvular fibrosa (MAIVF) region. The patient underwent successful removal of the vegetations, closure of the defect along with aortic valve replacement, and mitral valve repair. 相似文献
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Filiz Ekici M.D. Abdullah Kocabaş M.D. Doğukan Aktaş M.D. İlker Çetin M.D. Sancar Eminoğlu M.D. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(2):E60-E63
Pseudoaneurysm of mitral‐aortic intervalvular fibrosa (PA‐MAIVF) is a rare complication of native aortic valve endocarditis. This region is a relatively avascular area and prone to infection during endocarditis and subsequent aneurysm formation. The rupture into the pericardial cavity and left atrium or aorta, systemic embolism, myocardial infarction secondary to left coronary compression, and sudden death are the reported complications. Herein, we present a 9‐year‐old boy who was diagnosed with bicuspid aortic valve endocarditis complicated by PA‐MAIVF, cerebral embolism, and hemorrhage. PA‐MAIVF was visualized by both two‐ and three‐dimensional transthoracic echocardiography and ruptured into pericardial space causing a fatal outcome. 相似文献
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The Additional Value of Three‐Dimensional Transesophageal Echocardiography in Complex Aortic Prosthetic Heart Valve Endocarditis 下载免费PDF全文
Wilco Tanis M.D. Arco J. Teske M.D. Ph.D. Lex A. van Herwerden M.D. Ph.D. Steven Chamuleau M.D. Ph.D. Folkert Meijboom M.D. Ph.D. Ricardo P.J. Budde M.D. Ph.D. Maarten‐Jan Cramer M.D. Ph.D. 《Echocardiography (Mount Kisco, N.Y.)》2015,32(1):114-125
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Jeroen Walpot M.D. Bharati Shivalkar M.D. Ph.D W. Hans Pasteuning M.D. Raymond Hokken M.D. 《Echocardiography (Mount Kisco, N.Y.)》2010,27(8):E80-E82
We report an atypical echocardiographic presentation of Staphylococcus aureus infective endocarditis (IE) of the mitral valve in an octogenarian female. Echocardiography revealed perforation of the anterior mitral valve leaflet (AMVL), with a large cystic mass seemingly attached to the AMVL and surrounded by a thin membranous structure. These images were strongly reminiscent of a hydatid cyst. The significant comorbidity of the patient did not justify an urgent surgical approach, and the patient subsequently expired of cardiogenic and septic shock. Autopsy revealed a large vegetation attached to the interatrial septum in the immediate proximity of the AMVL, without signs of the membranous structure and without pathological evidence for septic embolism. This atypical presentation of IE prompted us to discuss a brief review of intracardiac cystic masses. (Echocardiography 2010;27:E80‐E82) 相似文献
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Jawad H. Butt Nikolaj Ihlemann Ole De Backer Lars Søndergaard Eva Havers-Borgersen Gunnar H. Gislason Christian Torp-Pedersen Lars Køber Emil L. Fosbøl 《Journal of the American College of Cardiology》2019,73(13):1646-1655
Background
Patients undergoing surgical aortic valve replacement (SAVR) are considered at high risk of infective endocarditis (IE). However, data on the risk of IE following transcatheter aortic valve replacement (TAVR) are sparse and limited by the lack of long-term follow-up as well as a direct comparison with patients undergoing SAVR.Objectives
This study sought to investigate the long-term incidence of IE in patients undergoing TAVR and to compare the long-term risk of IE with patients undergoing isolated SAVR.Methods
In this nationwide observational cohort study, all patients undergoing TAVR and isolated SAVR from January 1, 2008, to December 31, 2016, with no history of IE and alive at discharge were identified using data from Danish nationwide registries.Results
A total of 2,632 patients undergoing TAVR and 3,777 patients undergoing isolated SAVR were identified. During a mean follow-up of 3.6 years, 115 patients (4.4%) with TAVR and 186 patients (4.9%) with SAVR were admitted with IE. The median time from procedure to IE hospitalization was 352 days (25th to 75th percentile: 133 to 778 days) in the TAVR group and 625 days (25th to 75th percentile: 209 to 1,385 days) in the SAVR group. The crude incidence rates of IE were 1.6 (95% confidence interval [CI]: 1.4 to 1.9) and 1.2 (95% CI: 1.0 to 1.4) events per 100 person-years in TAVR and SAVR patients, respectively. The cumulative 1-year risk of IE was 2.3% (95% CI: 1.8% to 2.9%) and 1.8% (95% CI: 1.4% to 2.3%) in TAVR and SAVR patients, respectively. Correspondingly, the cumulative 5-year risk of IE was 5.8% (95% CI: 4.7% to 7.0%) and 5.1% (95% CI: 4.4% to 6.0%), respectively. In multivariable Cox proportional hazard analysis, TAVR was not associated with a statistically significant different risk of IE compared with SAVR (hazard ratio: 1.12; 95% CI: 0.84 to 1.49).Conclusions
The 5-year incidence of IE following TAVR was 5.8% and not significantly different than the incidence following SAVR. 相似文献11.
Sudarshan Kumar Vijay M.D. D.M. Bhuwan Chandra Tiwari M.D. D.M. Mukul Misra M.D. D.M. Sudhanshu Kumar Dwivedi M.D. D.M. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(1):E24-E26
The mitral valve aneurysm is a rare complication of infective endocarditis involving mitral or aortic valve. The perforation of the mitral valve aneurysm can lead to significant mitral regurgitation (MR) or thromboembolism, which can cause sudden hemodynamic deterioration. We describe here a case of healed infective endocarditis of the aortic valve with ruptured mitral valve aneurysm that led to severe MR. The aneurysm of the anterior mitral leaflet was diagnosed by two‐dimensional transthoracic echocardiography. In this case, three‐dimensional transthoracic echocardiography demonstrated the detailed morphology of mitral valve aneurysm which resulted in successful surgical repair of the aneurysm. 相似文献
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Wei Meng M.D. Ph.D. Haibo Song M.D. Da Zhu M.D. Ph.D. Shu Zhang M.D. Eryong Zhang M.D. Ph.D. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(6):E174-E176
Cardiac myxoma arising form right ventricular outflow tract (RVOT) is extremely rare, but could cause major clinical sequelae and pose considerable diagnostic and therapeutic challenges. Here, we report the intraoperative application of real time three‐dimensional transesophageal echocardiography (RT3DTEE) in the assessment of a patient with a RVOT myxoma. RT3DTEE clearly assess the characteristics of the mass, such as the size, shape, attachment points, and composition. With the intraoperative guidance of RT3DTEE, the patient underwent successful removal of the mass. 相似文献
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Rajiv Bharat Kharwar M.D. Abhisekh Mohanty M.D. Akhil Sharma M.D. Varun Shankar Narain M.D. D.M. Rishi Sethi M.D. D.M. F.A.C.C. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(3):E72-E76
Ruptured aneurysm of the anterior mitral leaflet is a rare but a devastating complication secondary to aortic valve infective endocarditis. We report a case of 30‐year‐old male with native aortic valve endocarditis who was referred to us for evaluation of worsening of heart failure after an initial period of responsiveness to antibiotics. Detailed evaluation with two‐dimensional and three‐dimensional transthoracic echocardiography revealed ruptured anterior mitral leaflet aneurysm with severe eccentric mitral regurgitation along with a large vegetation on the aortic valve. The patient underwent successful surgical closure of the defect along with aortic valve replacement. 相似文献
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Two‐ and Live/Real Time Three‐Dimensional Transthoracic Echocardiographic Assessment of Infective Endocarditis of a Valved Pulmonary Conduit 下载免费PDF全文
John C. Gulotta M.D. Saurabh Gaba M.B.B.S. Serkan Bulur M.D. Marisa Joson M.D. Aylin Sungur M.D. Navin C. Nanda M.D. F.I.S.C.U. 《Echocardiography (Mount Kisco, N.Y.)》2015,32(2):361-364
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. 相似文献
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Ajay S. Chaurasia M.D. D.M. Jaywant M. Nawale M.D. D.M. Madhusudan A. Yemul M.D. D.M. 《Echocardiography (Mount Kisco, N.Y.)》2013,30(6):E167-E170
We describe a rare case of pulmonary valve endocarditis associated with a double‐chambered right ventricle in an adolescent male highlighting the two‐dimensional and three‐dimensional transthoracic echocardiographic findings. He was managed with aggressive antibiotic therapy followed by surgery. The echocardiographic findings were confirmed during surgery. 相似文献
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Impact of Energy Loss Index and Valvuloarterial Impedance in Patients with Aortic Stenosis Using Three‐Dimensional Echocardiography 下载免费PDF全文
Takeji Saitoh M.D. Jun Tanaka M.D. Azusa Furugen M.D. Kenji Harada M.D. Masaki Izumo M.D. Yoko Fukuoka M.D. Takahiro Shiota M.D. 《Echocardiography (Mount Kisco, N.Y.)》2015,32(4):654-659
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Sachin Hansalia M.D. Navin C. Nanda M.D. F.I.S.C.U. Naveen Bandarupalli M.D. Mohit Gupta M.D. 《Echocardiography (Mount Kisco, N.Y.)》2009,26(1):100-106
We present a case of chronic ascending thoracic aortic dissection with rupture into the right ventricular outflow tract (RVOT) diagnosed by two-dimensional transthoracic echocardiogram in which live/real time three-dimensional (3D) transthoracic echocardiogram provided incremental value by demonstrating: (a) a tortuous false lumen that encroached and ruptured into the RVOT, (b) exact location of the rupture site in relation to other surrounding structures in 3 dimensions (c) en face view of the rupture site facilitating assessment of its size and shape, and (d) localized compression of the main pulmonary artery (PA) by the false lumen. In addition, cropping of the 3D data set permitted visualization of the origin of the left main coronary in a rapid manner excluding involvement of this vessel with the dissection process. These findings have potential implications for surgical planning and were corroborated by a computed tomography angiogram. We summarize seven previously reported aortic dissection cases with rupture into the right ventricle . 相似文献