Emory University School of Medicine, Division of Cardiology, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
Hellenic J Cardiol. 2013 Mar-Apr;54(2):147-9.
A 72-year-old patient was admitted to the Department of Cardiology of Emory University Hospital with the diagnosis of infective endocarditis. Two-dimensional transesophageal echocardiography (TEE) showed a vegetation attached to the posterior mitral valve leaflet that led to severe mitral regurgitation. Real-time 3-dimensional TEE clearly identified the large posterior leaflet vegetation but additionally showed the perforated posterior mitral valve leaflet. Real time 3D TEE, and especially the large sector-focused data, allow for detailed identification of the mitral valve leaflets from both the atrial and the ventricular side. Those characteristics of real-time 3D TEE confer incremental value in assessing infective endocarditis lesions and complications.
一位 72 岁的患者因感染性心内膜炎被收入埃默里大学医院心内科。二维经食管超声心动图(TEE)显示,一个赘生物附着于二尖瓣后叶,导致严重的二尖瓣反流。实时三维 TEE 清楚地识别出了大的二尖瓣后叶赘生物,还显示了二尖瓣后叶穿孔。实时三维 TEE,特别是大扇区聚焦数据,允许从房侧和室侧详细识别二尖瓣叶。实时三维 TEE 的这些特征在评估感染性心内膜炎病变和并发症方面具有附加价值。