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The Value of Live/Real Time Three‐Dimensional Transesophageal Echocardiography in the Assessment of Valvular Vegetations
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
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
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)
Keywords:three‐dimensional echocardiography  three‐dimensional transesophageal echocardiography  transesophageal echocardiography  valvular vegetations  infective endocarditis
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