Why the study?
Does Real Time 3D TEE improve the identification of mitral valve perforation compared to traditional 2D TEE in patients with infective endocarditis?
Does Real Time 3D TEE improve the identification of mitral valve perforation compared to traditional 2D TEE in patients with infective endocarditis?
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RT-3D TEE provides superior visualization for identifying mitral valve perforation in infective endocarditis compared to traditional 2D TEE.
Mitral valve perforation is an uncommon but important complication of infective endocarditis. We report a case of a 65-year-old man who was diagnosed to have infective endocarditis of his mitral valve. Through the course of his admission he had a rapid development of hemodynamic instability and pulmonary edema secondary to acutely worsening mitral regurgitation. While the TEE demonstrated an increase in the size of his bacterial vegetation, Real Time 3D TEE was ultimately the imaging modality through which the valve perforation was identified. Through this case report we discuss the advantages that RT-3D TEE has over traditional 2D TEE in the management of valve perforation.
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Anand et al. (2015) studied this question.
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