3D echocardiography allows rapid and accurate surgical planning in complex aortic root abscess cases

Echo Research and Practice

Jitendra Parmar¹  Faizel Osman²  Jamal Nasir Khan²  Viren Ahluwalia² 

[1] Warwick Medical School, Warwick University, Coventry, UK;Department of Cardiology, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK;

关键词: 3d echocardiography;    3d transoesophageal echocardiography;    aortic root abscess;    aortic valve endocarditis;    aortic valve surgery;   

DOI  :  https://doi.org/10.1530/ERP-19-0043

来源: DOAJ

【 摘 要 】

Despite 3D echocardiography (3DE) acquiring significantly greater data than standard 2D echocardiography (2DE), it is underutilised in assessing cardiac anatomy and physiology. A key advantage is the ability of a single 3DE acquisition to be post-processed to generate volume-rendered 3D models and an unlimited number of multiplanar reconstruction (MPR) images. We describe the case of a highly anxious patient with life-threatening complex aortic valve endocarditis and aortic root abscess, refusing transesophageal echocardiography (TOE) under general anaesthesia with tachycardia, breathlessness and acute kidney injury precluding accurate or safe gated (computed tomography) CT, who was comprehensively assessed with a rapid 3D-TOE under sedation. This led to timely surgery and an excellent outcome for the patient.

【 授权许可】

Unknown