Advertisement

Utility of Three-Dimensional Transesophageal Echocardiography in the Diagnosis of Valvular Perforations

      Three-dimensional (3D) transesophageal echocardiographic (TEE) imaging is a relatively new imaging modality that is increasingly being used to characterize a variety of cardiac pathologic features. In the present study, we reviewed the 2-dimensional (2D) and 3D TEE images from our echocardiographic database to identify patients with valve perforations. A review of the 2D TEE images resulted in the identification of 11 valvular perforations (6 aortic valves, 4 mitral valves, and 1 tricuspid valve). A review of the 3D TEE images allowed for the identification of 15 valve perforations (7 aortic valves, 7 mitral valves, and 1 tricuspid valve), including 4 perforations that could not be diagnosed using 2D imaging alone. In conclusion, 3D TEE imaging provided added benefit to traditional 2D TEE imaging because of its ability to provide en face visualization of the cardiac valves, allowing improved identification and precise anatomic localization of the perforation.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schwalm S.A.
        • Sugeng L.
        • Raman J.
        • Jeevanandum V.
        • Lang R.M.
        Assessment of mitral valve leaflet perforation as a result of infective endocarditis by 3-dimensional real-time echocardiography.
        J Am Soc Echocardiogr. 2004; 17: 919-922
        • Hansalia S.
        • Biswas M.
        • Dutta R.
        • Hage F.G.
        • Hsiung M.C.
        • Nanda N.C.
        • Singh P.
        • Manda J.
        • Kesanolla S.K.
        • Wei J.
        • Yin W.H.
        The value of live/real time three-dimensional transesophageal echocardiography in the assessment of valvular vegetations.
        Echocardiography. 2009; 26: 1264-1273
        • Sugeng L.
        • Coon P.
        • Weinert L.
        • Jolly N.
        • Lammertin G.
        • Bednarz J.E.
        • Thiele K.
        • Lang R.M.
        Use of real-time 3-dimensional transthoracic echocardiography in the evaluation of mitral valve disease.
        J Am Soc Echocardiogr. 2006; 19: 413-421
        • Atar S.
        • Nagai T.
        • Cercek B.
        • Naqvi T.Z.
        • Luo H.
        • Siegel R.J.
        Pacing stress echocardiography: an alternative to pharmacologic stress testing.
        J Am Coll Cardiol. 2000; 36: 1935-1941
        • De Castro S.
        • Cartoni D.
        • d'Amati G.
        • Beni S.
        • Yao J.
        • Fiorell M.
        • Gallo P.
        • Fedele F.
        • Pandian N.G.
        Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings.
        Clin Infect Dis. 2000; 30: 825-826