Visualization of coronary arteries using intravenous contrast agent and real-time 3-dimensional echocardiography in a patient with hypertrophic cardiomyopathy. |
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Authors: | Jeane M Tsutsui Edmundo Arteaga Julie A Brie Charles Mady Jose L Andrade Jose F Ramires Wilson Mathias |
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Institution: | Heart Institute (InCor), Hospital das Clínicas, Echocardiography Laboratory, Faculdade de Medicina da Universidade de S?o Paulo, Av. Enéas de Carvalho Aguiar 44, 05403-900 S?o Paulo-SP, Brazil. jeanetsutsui@msn.com |
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Abstract: | Real-time 3-dimensional echocardiography is a recently developed imaging technique that provides unique information on spatial geometry in real time. We described an asymptomatic patient with hypertrophic obstructive cardiomyopathy for whom 3-dimensional echocardiography was performed after intravenous injection of perfluorocarbon-filled microbubbles. It resulted in enhancement of the left ventricular endocardial border delineation and myocardial perfusion in the hypertrophic septum. A clear visualization of the entire course of the left anterior descending coronary artery and its septal perforator branches was obtained. This case illustrates the potential of real-time 3-dimensional echocardiography to improve the anatomic evaluation of coronary arteries, especially when combined with contrast agents. |
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