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

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Echo Research and Practice Pub Date : 2019-10-01 DOI:10.1530/ERP-19-0043

Viren Ahluwalia, Faizel Osman, Jitendra Parmar, Jamal Nasir Khan

引用次数: 0

Abstract

Despite 3D echocardiography (3DE) acquiring significantly greater data than standard 2D echocardiography (2DE), it is underutilized 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 3DE-TOE under sedation. This led to timely surgery and an excellent outcome for the patient.

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三维超声心动图允许快速和准确的手术计划在复杂的主动脉根部脓肿病例

尽管3D超声心动图(3DE)比标准2D超声心动图(2DE)获得更多的数据，但它在评估心脏解剖和生理方面的应用不足。一个关键的优势是能够对单个3DE采集进行后处理，以生成体渲染3D模型和无限数量的多平面重建(MPR)图像。我们描述了一个高度焦虑的患者，患有危及生命的复杂主动脉瓣心内膜炎和主动脉根脓肿，在全身麻醉下拒绝经食管超声心动图(TOE)，伴有心动过速、呼吸困难和急性肾损伤，无法进行准确或安全的门控(计算机断层扫描)CT，在镇静下使用快速3D-TOE进行全面评估。这导致了及时的手术，并为患者带来了良好的结果。学习要点:3DE比2DE具有更大的临床价值，因为它可以将单个3DE图像采集后处理成体渲染3D模型，并提供无限数量的多平面重建(MPR)图像。3DE在速度很重要的困难情况下非常有效。3DE在复杂手术病例的规划中具有优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Echo Research and Practice CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.70

自引率

12.70%

发文量

审稿时长

8 weeks

期刊介绍： Echo Research and Practice aims to be the premier international journal for physicians, sonographers, nurses and other allied health professionals practising echocardiography and other cardiac imaging modalities. This open-access journal publishes quality clinical and basic research, reviews, videos, education materials and selected high-interest case reports and videos across all echocardiography modalities and disciplines, including paediatrics, anaesthetics, general practice, acute medicine and intensive care. Multi-modality studies primarily featuring the use of cardiac ultrasound in clinical practice, in association with Cardiac Computed Tomography, Cardiovascular Magnetic Resonance or Nuclear Cardiology are of interest. Topics include, but are not limited to: 2D echocardiography 3D echocardiography Comparative imaging techniques – CCT, CMR and Nuclear Cardiology Congenital heart disease, including foetal echocardiography Contrast echocardiography Critical care echocardiography Deformation imaging Doppler echocardiography Interventional echocardiography Intracardiac echocardiography Intraoperative echocardiography Prosthetic valves Stress echocardiography Technical innovations Transoesophageal echocardiography Valve disease.