• Hellenic J Cardiol · Mar 2013

    Case Reports

    Revealing infective endocarditis complications by echocardiography: the value of real-time 3D transesophageal echocardiography.

    • Agathi-Rosa Vrettou, Achilles Zacharoulis, Stamatios Lerakis, and Dimitrios T Kremastinos.
    • Emory University School of Medicine, Division of Cardiology, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
    • Hellenic J Cardiol. 2013 Mar 1;54(2):147-9.

    AbstractA 72-year-old patient was admitted to the Department of Cardiology of Emory University Hospital with the diagnosis of infective endocarditis. Two-dimensional transesophageal echocardiography (TEE) showed a vegetation attached to the posterior mitral valve leaflet that led to severe mitral regurgitation. Real-time 3-dimensional TEE clearly identified the large posterior leaflet vegetation but additionally showed the perforated posterior mitral valve leaflet. Real time 3D TEE, and especially the large sector-focused data, allow for detailed identification of the mitral valve leaflets from both the atrial and the ventricular side. Those characteristics of real-time 3D TEE confer incremental value in assessing infective endocarditis lesions and complications.

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