Key result
Three-dimensional transthoracic echocardiography successfully identified a left ventricular mass-like echo density as a calcified mitral strut chord viewed in cross section.
Why the study?
Does three-dimensional transthoracic echocardiography (3DTTE) improve the delineation of a mass-like echo density in the left ventricle compared to two-dimensional transthoracic echocardiography (2DTTE)?
Case Report (n=1)
Does three-dimensional transthoracic echocardiography (3DTTE) improve the delineation of a mass-like echo density in the left ventricle compared to two-dimensional transthoracic echocardiography (2DTTE)?
3DTTE provides incremental diagnostic value over 2DTTE by allowing systematic cropping at any desired angulation to accurately delineate complex cardiac structures.
3DTTE may clarify ambiguous LV mass-like densities when 2DTTE is inconclusive; leaves open its routine value and requires prospective validation.
Live/real time three-dimensional transthoracic echocardiography (3DTTE) provides an incremental value in the delineation of various cardiac pathologies. In this study, two-dimensional transthoracic echocardiography (2DTTE) of a 56-year-old patient showing a prominent echo density suggestive of a mass in the left ventricle probably attached to the ventricular side of the anterior mitral leaflet, is reported. Systematic cropping of the 3DTTE dataset showed the mass to be a calcified mitral strut chord viewed in cross section. This is well visualized in the accompanying movie clip. This case highlights the advantage of 3DTTE in which the whole of the ventricle including the mitral valve apparatus is captured in the dataset facilitating cropping at any desired angulation.
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Pandey et al. (2012) conducted a case report in Mass-like echo density in the left ventricle (n=1). Three-dimensional transthoracic echocardiography (3DTTE) vs. Two-dimensional transthoracic echocardiography (2DTTE) was evaluated on Delineation of the etiology of the mass-like echo density. Three-dimensional transthoracic echocardiography successfully identified a left ventricular mass-like echo density as a calcified mitral strut chord viewed in cross section.
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