The Value of Live/Real Time Three‐Dimensional Transesophageal Echocardiography in the Assessment of Valvular Vegetations |
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Authors: | Sachin Hansalia MD Monodeep Biswas MD Rajarshi Dutta Fadi G Hage MD Ming Chon Hsiung MD Navin C Nanda MD Preeti Singh MD Jayaprakash Manda MBBS Saritha Kumari Kesanolla MBBS Jeng Wei MD PhD Wei‐Hsian Yin MD PhD |
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Institution: | 1. Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama;2. Section of Cardiology, Birmingham Veteran's Administration Medical Center, Birmingham, Alabama;3. Division of Cardiovascular Diseases, Cheng‐Hsin Medical Center, Taipei, Taiwan, Republic of China |
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Abstract: | We studied 13 patients with valvular vegetations who underwent intraoperative live/real time three‐dimensional transesophageal echocardiography (3DTEE) and real time two‐dimensional transesophageal echocardiography (2DTEE). The 3DTEE provided incremental value on top of 2DTEE in its ability to accurately identify and localize vegetations and in identifying complications of infective endocarditis such as abscesses, perforations, and ruptured chordae. By using 3DTEE, we were able to measure vegetation volumes, perforation areas, and estimate the area of the valve that is involved in the infective process. These preliminary results suggest the superiority of 3DTEE over 2DTEE in the evaluation of valvular vegetations and provide incremental knowledge that is useful to the cardiac surgeons. (ECHOCARDIOGRAPHY, Volume 26, November 2009) |
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Keywords: | three‐dimensional echocardiography three‐dimensional transesophageal echocardiography transesophageal echocardiography valvular vegetations infective endocarditis |
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