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Incremental role of three-dimensional transesophageal echocardiography in the assessment of mitral-aortic intervalvular fibrosa abscess
Authors:Sadat Kamel  Joshi Deepak  Sudhakar Selvin  Bicer Elif Ijlal  Ibrahim Hisham  Nanda Navin C  Bhagatwala Kunal  Karia Nidhi  Pandey Abhilasha
Affiliation:Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA.
Abstract:We report a case of an elderly patient in whom live/real time three-dimensional transesophageal echocardiography (3DTEE) provided definitive diagnosis of mitral-aortic intervalvular fibrosa abscess. This could not be done by two-dimensional transthoracic echocardiography (2DTTE) and two-dimensional transesophageal echocardiography (2DTEE). 3DTEE was also helpful in ruling out associated mitral valve endocarditis, which was initially suspected by 2DTEE leading to a mitral valve sparing surgery. Thus, 3DTEE provided incremental information over 2DTTE and 2DTEE in this patient.
Keywords:real time three‐dimensional transesophageal echocardiography  three‐dimensional echocardiography  mitral‐aortic intervalvular fibrosa abscess  transesophageal echocardiography  transthoracic echocardiography  aortic valve vegetation
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