Key result
Novel right intercostal transhepatic echo window enables diagnosis of significant aortic regurgitation.
Why the study?
Conventional echocardiographic windows may not always provide good quality images in critically ill patients due to lung interposition or thoracic surgical drainages.
Can the right intercostal transhepatic window be used for echocardiographic assessment in critically ill patients with poor conventional windows?
Case Report (n=1)
Can the right intercostal transhepatic window be used for echocardiographic assessment in critically ill patients with poor conventional windows?
The right intercostal transhepatic window offers an alternative echocardiographic view for hemodynamic assessment in critically ill patients when conventional windows are limited.
May enable AR diagnosis when standard windows fail in pulmonary edema; leaves open need for validation in larger cohorts.
Echocardiography has gained great acceptance in the management of critically ill patients, allowing non-invasive hemodynamic assessment, through conventional cardiac windows such as the parasternal, apical and subxiphoid views. However, it is not always possible to get good quality images because of the interposition of the lung or the presence of surgical drainages at the thoracic region. Based on these issues, we described a case in which echocardiographic assessment was possible through a novel approach: the right intercostal transhepatic window (RITW), through which we diagnosed significant aortic regurgitation in a patient with pulmonary edema.
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Cheong et al. (2022) conducted a case report in Pulmonary edema (n=1). Right intercostal transhepatic window (RITW) echocardiography was evaluated on Diagnosis of significant aortic regurgitation. The right intercostal transhepatic window (RITW) enabled successful echocardiographic diagnosis of significant aortic regurgitation in a patient with pulmonary edema.
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