Key result
Three-dimensional transoesophageal echocardiography identified a descending thoracic aortic atherothrombus as the source of mesenteric embolism in a 68-year-old man with intestinal infarction.
Case Report (n=1)
Three-dimensional transoesophageal echocardiography is useful for identifying descending thoracic aortic atherothrombus as a source of mesenteric embolism.
Answers are grounded in this paper and cite their sources.
May support targeted 3D TEE in select mesenteric embolism cases; hypothesis-generating and leaves open routine use.
A 68-year-old man with previous multiple transient ischaemic attacks presented with 3 days of worsening abdominal pain and subsequently developed septic shock. An emergency laparotomy revealed a perforated small intestine secondary to infarction of the terminal ileum. Transthoracic echocardiography showed normal left ventricular systolic function during sinus rhythm, satisfactory valvular function, no evidence of intracardiac thrombus and no interatrial shunting on colour Doppler analysis or with agitated saline contrast study. Transoesophageal (TOE) two-dimensional (figure 1A) and three-dimensional …
No takes yet. Share an insight, caveat, or question.
Thai et al. (2011) conducted a case report in Mesenteric embolism secondary to descending thoracic aortic atherothrombus (n=1). Three-dimensional transoesophageal echocardiography was evaluated. Three-dimensional transoesophageal echocardiography identified a descending thoracic aortic atherothrombus as the source of mesenteric embolism in a 68-year-old man with intestinal infarction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: