Live 3D TEE Demonstrates and Guides the Management of Prosthetic Mitral Valve Obstruction
| Autor: | Utpal Pandya, Satjit Adlakha, Mangeet Chahal, Samer Khouri |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Mitral valve replacement Atrial Appendage Atrial fibrillation medicine.disease Surgery Rapid ventricular response Mitral valve stenosis PROSTHETIC MITRAL VALVE Internal medicine cardiovascular system medicine Palpitations Cardiology Radiology Nuclear Medicine and imaging cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine Ligation business |
| Zdroj: | Echocardiography. 28:E146-E148 |
| ISSN: | 0742-2822 |
| DOI: | 10.1111/j.1540-8175.2011.01412.x |
| Popis: | A 43-year-old woman, with a remote history of rheumatic mitral stenosis and a St. Jude prosthetic mitral valve replacement, presented with shortness of breath and palpitations, shortly after a long flight. On admission, atrial fibrillation with a rapid ventricular response was noted in the setting of a long history of noncompliance with her anticoagulation. Transesophageal echocardiography (TEE) demonstrated multiple laminated thrombi in the left atrial appendage. Live three-dimensional (3D) TEE confirmed this diagnosis and demonstrated an immobile posterior leaflet of the mitral prosthesis, which had direct implications in her management. She successfully underwent surgery for mitral valve replacement, left atrial appendage ligation, and a Maze procedure on the following day. The multiple thrombi within the atrial appendage were confirmed intraoperatively and pannus formation was determined to be the etiology of the leaflet immobility. (Echocardiography 2011;28:E146-E148) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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