Key result
Real-time 3D contrast TTE allowed visualization of the full extent and precise anatomical location of a left ventricular abscess that was difficult to assess with 2D TTE.
Why the study?
Does real-time 3D contrast TTE improve visualization of myocardial abscess compared to 2D TTE in a patient with valvular endocarditis?
Case Report (n=1)
Does real-time 3D contrast TTE improve visualization of myocardial abscess compared to 2D TTE in a patient with valvular endocarditis?
Real-time 3D contrast TTE can improve the spatial assessment and anatomical localization of myocardial abscesses complicating valvular endocarditis compared to standard 2D TTE.
May aid LV abscess localization in endocarditis; leaves open whether 3D contrast TTE warrants routine adoption.
Myocardial abscess is a rare and often fatal complication of valvular endocarditis. We present a case of a patient with aortic valve endocarditis whose post-operative course was complicated by a large left ventricular abscess. The spatial location of the defect was difficult to assess with 2D transthoracic echocardiography (TTE); however, real-time 3D contrast TTE allowed us to visualize the full extent of the defect and its precise anatomical location, prior to successful surgical resection.
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Walker et al. (2010) conducted a case report in Aortic valve endocarditis with myocardial abscess (n=1). Real-time 3D contrast TTE vs. 2D transthoracic echocardiography (TTE) was evaluated on Visualization of the full extent of the defect and its precise anatomical location. Real-time 3D contrast TTE allowed visualization of the full extent and precise anatomical location of a left ventricular abscess that was difficult to assess with 2D TTE.
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