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1.
Coexisting bicuspid aortic and pulmonary valves diagnosed by 3D transthoracic echocardiography
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Edith Liliana Posada‐Martínez MD José Antonio Arias‐Godinez MD Ángel Romero‐Cárdenas MD María Eugenia Ruiz Esparza‐Dueñas MD Juan Francisco Fritche‐Salazar MD Hugo Rodríguez‐Zanella MD Juan Betuel Ivey‐Miranda MD 《Echocardiography (Mount Kisco, N.Y.)》2018,35(3):423-424
Coexisting bicuspid aortic and pulmonary valves is an extremely rare condition, and there have been few published cases. Diagnosis of bicuspid aortic valve is straightforward with 2D echocardiography; however, analysis of the morphology of the pulmonary valve is challenging. In this study, we report on a case of a 32‐year‐old man with bicuspid aortic and pulmonary valves diagnosed by 2D and 3D transthoracic echocardiography. The enlarged pulmonary artery without any obvious etiology led us to suspect a pulmonary valve anomaly; thus, we comprehensively evaluated it with 2D and 3D echocardiography, which confirmed the diagnosis of bicuspid pulmonary valve. 相似文献
2.
Asad Ullah Roomi M.D. Tugba Kemaloglu Oz M.D. Shammah O. Williams M.D. Navin C. Nanda M.D. Kruti J. Mehta M.B.B.S. Aylin Sungur M.D. David C. McGiffin M.D. 《Echocardiography (Mount Kisco, N.Y.)》2013,30(9):1107-1110
Aorta to pulmonary artery fistula is an uncommon and potentially fatal condition. This case is of a 48‐year‐old Caucasian male with congestive heart failure and multiple aortic valve replacement surgeries who presented with an acquired ascending aortic aneurysm to pulmonary artery fistula diagnosed using two‐dimensional transthoracic echocardiography via nonstandard imaging windows. Three‐dimensional transthoracic echocardiography using live/real time three‐dimensional color Doppler was used to assess the size of the opening of the fistula, providing additional value. This patient was surgically managed and is doing well 8 months postoperation. 相似文献
3.
Diagnostic significance of three‐dimensional echocardiography in asymptomatic unicuspid aortic valve
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Zorica Mladenovic MD PhD Danijela Vranes MD Slobodan Obradovic MD PhD Boris Dzudovic MD Andjelka Angelkov Ristic MD PhD Nenad Ratkovic MD PhD Zoran Jovic MD PhD Marijan Spasic MD Jelena Maric Kocijancic MD MSc Predrag Djruic MD MSc 《Echocardiography (Mount Kisco, N.Y.)》2018,35(8):1247-1249
Unicuspid aortic valve (UAV) is a rare congenital anomaly of aorta associated with a faster progress of valvular dysfunction, aortic dilatation and with necessity for more frequent controls and precise evaluation Asymptomatic 35 year old man had abnormal systolic diastolic murmur on aortic valve during routine examination. Initial diagnostic with transthoracic echocardiography (TTE) supposed bicuspid aortic valve, while three‐dimensional transesophageal echocardiography (3D TEE) and multidetector computed tomography defined unicuspid, unicomissural aortic valve with moderate aortic stenosis and regurgitation. This case report confirmed that 3D TEE gives us opportunity for early, improved and precise diagnosis of UAV. 相似文献
4.
Ahmet Guner MD Sabahattin Gunduz MD Cagatay Onal MD Taylan Akgun MD Emrah Bayam MD Ozkan Candan MD Mehmet Ozkan MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(12):1948-1949
A 19‐year‐old male patient was admitted to our institute with dyspnea. His medical history had no rheumatic fever or infective endocarditis. Physical examination revealed a diastolic murmur over the aortic area, rales of bilateral lungs. Bedside transthoracic echocardiography (TTE) revealed a severe aortic regurgitation (AR) without aortic valve stenosis and a moderately dilated left ventricle accompanied by an ejection fraction of 55%. The aortic valve could not be clearly demonstrated as either bicuspid or tricuspid. Congenital AR typically occurs in conjunction with an additional cardiac abnormality or aortic valve stenosis. Furthermore, bicuspid aortic valves are observed in the majority of patients. The aortic valve is created from the truncus ridge of the truncus arteriosus while the embryological development. 相似文献
5.
M. Cardo B. Fernández A. C. Durán J. M. Arqué D. Franco V. Sans-Coma 《Basic research in cardiology》1994,89(1):94-99
Summary The conditions of the aortic and pulmonary valves and the arrangement in the origin of the coronary arteries were studied in 247 Syrian hamsters belonging to a single family subjected to high endogamous pressure. Most specimens (n=216) were examined using a stereomicroscope. The remaining 31 were studied histologically. In 110 specimens both cardiac semilunar valves were normal. The aortic valve was bicuspid and the pulmonary valve was normal in 79 animals, while a normal aortic valve and a bicuspid pulmonary valve occured in 37. In the remaining 21 specimens both semilunar valves were bicuspid. In 34 cases, the left coronary artery originated from the pulmonary trunk. Statistical analyses indicate that there is no significant relationship between the bicuspid condition of the pulmonary valve and the fact that a coronary artery arises from the pulmonary trunk. On the other hand, they substantiate that the frequency of this coronary artery anomaly significantly increases when the aortic valve is bicuspid. The present findings agree with the hypothesis that abnormal migration of the neural crest cells may be responsible for the combined occurrence of bicuspid aortic valve and anomalous origin of the left coronary artery from the pulmonary trunk. In addition, they suggest that the neural crest cells involved in the formation of the pulmonary valve diverge from those migrating into the aortic valve and those imposing spatial order upon the development of the proximal coronary arteries. 相似文献
6.
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
7.
Incremental value of live/real time three‐dimensional transthoracic echocardiography over the two‐dimensional technique in assessing carcinoid heart disease involving the aortic valve
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Bulur Serkan M.D. Ming C. Hsiung M.D. Navin C. Nanda M.D. Shalaka Hardas M.B.B.S. Ahmed Mohamed M.B.B.Ch. Ahmed ElKaryoni M.B.B.Ch. Swetha Srialluri M.B.B.S. Kirolos Barssoum M.B.B.Ch. Mahmoud Elsayed M.B.B.Ch. Jeng Wei M.D. M.S.D. Wei‐Hsian Yin M.D. Ph.D. 《Echocardiography (Mount Kisco, N.Y.)》2016,33(11):1741-1744
We present a case of an adult with metastatic carcinoid heart disease, in whom live/real time three‐dimensional transthoracic echocardiography provided incremental value over two‐dimensional transthoracic echocardiography in assessing involvement of the aortic valve. 相似文献
8.
Stefano Caselli M.D. Giuseppe Mazzesi M.D. Luigi Tritapepe M.D. Antonio Barretta M.D. Natesa G. Pandian M.D. Luciano Agati M.D. Francesco Fedele M.D. 《Echocardiography (Mount Kisco, N.Y.)》2011,28(1):E1-E4
Pseudoaneurysm of the mitral‐aortic intervalvular fibrosa is a rare complication of infective endocarditis of the aortic valve eventually resulting in coronary artery compression, stroke or rupture into the left atrium, aorta or pericardial space. A prompt diagnosis by either transthoracic or transesophageal echocardiography is mandatory to address the patient to cardiac surgery. We report the clinical case of a 25‐year‐old white man who was admitted to the emergency department for dyspnoea and fever. Echocardiographic examination showed a bicuspid aortic valve with a huge sessile vegetation and a pseudaneurysm of the mitral‐aortic intervalvular fibrosa. In addition to conventional two‐dimensional examination, three‐dimensional echocardiography provided additional information of this complication, precisely delineating the lesions and addressing the cardiac surgeon in choosing the most appropriate operating strategy. Patient underwent then aortic root replacement and the pseudoaneurysm was closed by means of a bovine pericardial patch. (Echocardiography 2011;28:E1‐E4) 相似文献
9.
Ahmet Karaduman smail Balaban Berhan Keskin Semih Kalkan Mustafa Ferhat Keten ar Kafkas Mehmet Ayturk Gkhan Kahveci 《Echocardiography (Mount Kisco, N.Y.)》2019,36(9):1783-1786
Subvalvular pannus formation is a rare but clinically important complication with prosthetic valves. Transthoracic echocardiography still plays a role in the initial assessment of mechanical aortic valve dysfunction. But evaluation with transesophageal echocardiography is more useful. Subvalvular area may be a blind spot of echocardiography due to acoustic shadowing. The case presented herein underlines the significant role of transgastric plane and three‐dimensional TEE in the assessment of subvalvular pannus formation in mechanical aortic valves. 相似文献
10.
Usefulness of two‐ and three‐dimensional transesophageal echocardiography in the assessment of proximal left coronary system compression by a paraprosthetic aortic valve abscess
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Amier Ahmad MD Samuel K. McElwee MD Amy Z. Jiang MD Kirolos N. Barssoum MBBCH Ahmed E. Elkaryoni MBBCH Mohammed J. Arisha MBBCH Swetha Srialluri MBBS Frank Seghatol MD Navin C. Nanda MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(2):264-266
Paraprosthetic aortic valve abscess represents a rare, but lethal complication of infective endocarditis. We report a case of proximal left coronary system compression by a paraprosthetic aortic valve abscess whose detection was augmented using live/real time three‐dimensional transesophageal echocardiography. Our case illustrates the usefulness of combined two‐ and three‐dimensional transesophageal echocardiography in detecting this finding. 相似文献
11.
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
12.
Periodic Protrusion of Right Coronary Cusp into Left Ventricular Outflow Tract Due to Detachment from the Aortic Annulus Complicated with Infective Endocarditis
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Hanako Tokuda M.D. Mitsushige Murata M.D. Fumiyuki Yashima M.D. Mikihiko Kudo M.D. Hikaru Tsuruta M.D. Kazuma Okamoto M.D. Yuichiro Maekawa M.D. Motoaki Sano M.D. Hiroyuki Fukushima M.D. Hideyuki Shimizu M.D. Keiichi Fukuda M.D. 《Echocardiography (Mount Kisco, N.Y.)》2016,33(4):655-658
We describe the imaging of unusual dislocation of right coronary cusp into left ventricular outflow tract (LVOT) due to the infective endocarditis. Although the two‐dimensional echocardiography identified a protruding mass in LVOT, the three‐dimensional echocardiography precisely demonstrated the spatial anatomy of the aortic root, which was confirmed by the surgical operation, implicating the usefulness of three‐dimensional echocardiography in this rare anomaly. 相似文献
13.
Mustafa I. Ahmed M.D. Maximiliano German Amado Escañuela M.D. William A. Crosland M.D. William S. McMahon M.D. Oluseun O. Alli M.D. Navin C. Nanda M.D. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(4):531-533
Accurate echocardiographic evaluation of the pulmonary valve is technically difficult because of its close proximity to the left lung, which often limits decision making. Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate real time anatomic detail. In this report, we present a case where direct imaging of the pulmonary valve with live/real time three‐dimensional transesophageal echocardiography (3DTEE) aided in accurate evaluation and was then used to help guide and monitor successful valvuloplasty of a stenotic pulmonary valve bioprosthesis. We demonstrate that even in cases where two‐dimensional (2D) evaluation of the pulmonary valve is difficult, the use of live/real time 3DTEE allows for accurate evaluation of bioprosthetic pulmonary valve structure and function, and enhances the precision and monitoring of percutaneous valvuloplasty. 相似文献
14.
Elena Surkova Cathy West Caroline Flick Liberty Ilagan Michael A. Gatzoulis Roxy Senior Wei Li 《Echocardiography (Mount Kisco, N.Y.)》2019,36(4):809-812
Transthoracic echocardiography is the principal imaging modality for assessment of patients with atrioventricular septal defects. Three‐dimensional echocardiography streamlines and simplifies data acquisition offering a unique realistic en‐face display of heart valves and septal defects and enables accurate evaluation of the cardiac anatomy, dynamic, and function. We demonstrated an added value of three‐dimensional echocardiography in assessment of an adult patient with atrioventricular septal defect and its advantages over conventional echocardiography. 相似文献
15.
Does three‐dimensional transesophageal echocardiography provide incremental value in percutaneous closure of ascending aortic pseudoaneurysm?
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Ahmed Elkaryoni MD Ming C. Hsiung MD Mohammed J. Arisha MD Amier Ahmad MD Navin C. Nanda MD Ahmed H. Mohamed MD Doaa Attia MD Ankush Sachdeva MD Lovepreet Singh BS Wei‐Hsian Yin MD PhD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(7):1057-1061
Ascending aortic pseudoaneurysms (AO PSAs), if left untreated, are complicated by a high rate of rupture resulting in significant morbidity and mortality. New transcatheter modalities have emerged as acceptable surgical alternatives for their management. We present a case of an ascending aortic PSA in which intraoperative two‐ and three‐dimensional transesophageal echocardiography (2DTEE and 3DTEE) provided a comprehensive assessment of the PSA in pre‐ and postclosure settings. 相似文献
16.
Clifford L. Cua MD Pace Johnston MD Jill Harmon RDCS Kathryn Shelton RDCS Patrick I. McConnell MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(12):1956-1958
Mitral valve construction using extracellular matrix (ECM) is a relatively new procedure. In this case, a 15‐month‐old boy with a history of severe mitral valve regurgitation secondary to endocarditis underwent mitral valve surgery. Mitral valve repair was not possible, and thus, a 17 mm extracellular matrix cylinder valve (ECM‐CV) was constructed for valve replacement. The ECM‐CV is clearly imaged using echocardiography, especially three‐dimensional imaging, that helped define valve function. As the use of ECM for valve construction increases, echocardiography will play an essential role in evaluating the function and mechanics of these novel valves. 相似文献
17.
Assessment of tricuspid valve by two‐ and three‐dimensional echocardiography with special reference to percutaneous repair and prosthetic valve implantation procedures
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Christopher S. G. Murray MD Ahmed Y. Salama MD Raziye E. Akdogan MD Serge Harb MD Tamanna Nahar MD Navin C. Nanda MD 《Echocardiography (Mount Kisco, N.Y.)》2018,35(9):1419-1438
Moderate‐to‐severe tricuspid regurgitation affects approximately 1.6 million people in the United States. An estimated 8000 patients will undergo tricuspid surgery annually, leaving a large number of patients with this condition untreated. Many of these individuals who are not referred for surgery engender a large unmet clinical need; this may be primarily due to the surgical risk involved. In persons who are categorized as high‐risk surgical candidates, percutaneous procedures present a viable alternative. The majority of developmental attention as regards percutaneous approaches has been focused on the aortic and mitral valves recently, but few data are available about the feasibility and efficacy of minimally invasive tricuspid valve treatment. We review the usefulness of two‐ and three‐dimensional echocardiography in the assessment of the tricuspid valve with special reference to recent interest in percutaneous repair and prosthetic valve implantation procedures for severe functional tricuspid regurgitation. 相似文献
18.
Preeti Singh M.D. Vatsal Inamdar M.D. Fadi G. Hage M.D. Visali Kodali M.D. Gultekin Karakus M.D. Thouantosaporn Suwanjutah M.D. Ming C. Hsiung M.D. Navin C. Nanda M.D. 《Echocardiography (Mount Kisco, N.Y.)》2009,26(10):1236-1249
We studied 31 patients with prosthetic valves (PVs) using two‐dimensional and three‐dimensional transthorathic echocardiography (2DTTE and 3DTTE, respectively) in order to determine whether 3DTTE provides an incremental value on top of 2DTTE in the evaluation of these patients. With 3DTTE both leaflets of the St. Jude mechanical PV can be visualized simultaneously, thereby increasing the diagnostic confidence in excluding valvular abnormalities and overcoming the well‐known limitations of 2DTTE in the examination of PVs, which heavily relies on Doppler. Three‐dimensional transthorathic echocardiography provides a more comprehensive evaluation of PV regurgitation than 2DTTE with its ability to more precisely quantify PV regurgitation, in determining the mechanism causing regurgitation, and in localizing the regurgitant defect. Furthermore, 3DTTE is superior in identifying, quantifying, and localizing PV thrombi and vegetations, in addition to the unique feature of providing a look inside mass lesions by serial sectioning. These preliminary results suggest the superiority of 3DTTE over 2DTTE in the evaluation of PVs and that it provides incremental knowledge to the echocardiographer. (ECHOCARDIOGRAPHY, Volume 26, November 2009) 相似文献
19.
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
20.
Thirteen children and young adults with coarctation of the aorta as their principal cardiovascular abnormality, 11 with bicuspid aortic valves, were evaluated by orifice-view aortography to evaluate their aortic valvular morphology. For comparison 30 individuals with aortic valvular deformities but without coarctation of the aorta were similarly studied. Two distinct forms of bicuspid valves could be identified characterized by either the appearance of gross inequality of size of the two valve leaflets or an appearance wherein each leaflet closely approximated the size of the other, thus equally bicuspid. Excepting two individuals with normal, tricuspid, aortic valves, all of the patients with coarctation of the aorta had equally bicuspid aortic valves which contrasted to the group without coarctation in which the unequally bicuspid type predominated. This difference in bicuspid aortic valve morphology associated with coarctation of the aorta suggests a different developmental process involving the aortic valve as opposed to the situation in individuals without coarctation. 相似文献