Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Echocardiography. 2022 Jul;39(7):954-956. doi: 10.1111/echo.15415. Epub 2022 Jun 24.
Three-dimensional (3D) echocardiography is an important tool in the evaluation of mitral valve anatomy. We illustrate a case of a 67-year-old female who was admitted for non-ST-elevation myocardial infarction (NSTEMI) and underwent two-vessel coronary artery bypass grafting for surgical disease. Her two-dimensional (2D) echocardiographic images intraoperatively demonstrated a mass on the posterior mitral valve leaflet which created a diagnostic challenge; 3D transesophageal imaging was crucial in identifying the true nature of the pathology to be mitral annular calcification with supra-annular extension.
三维(3D)超声心动图是评估二尖瓣解剖结构的重要工具。我们介绍了一位 67 岁女性的病例,她因非 ST 段抬高型心肌梗死(NSTEMI)入院,并因外科疾病接受了两血管冠状动脉旁路移植术。她术中的二维(2D)超声心动图图像显示后二尖瓣叶上有一个肿块,这给诊断带来了挑战;3D 经食管成像对于确定病理学的真实性质至关重要,即二尖瓣环钙化伴环形上扩展。