Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
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J Am Soc Echocardiogr · Sep 1992
Case ReportsBlood cyst of the mitral valve: detection by transthoracic and transesophageal echocardiography.
Two-dimensional transthoracic and transesophageal echocardiography have become important modalities in the evaluation of the mechanism of symptomatic mitral regurgitation. We report the use of echocardiography in the detection of an unusual cause of mitral regurgitation, that of multiple large blood cysts involving the posterior leaflet of the mitral valve.
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J Am Soc Echocardiogr · Sep 1992
Case ReportsTransthoracic echocardiography documents prompt resolution of right atrial thrombus after thrombolytic therapy.
Right atrial thrombi represent pulmonary emboli in transit, and they may be fatal in patients treated conservatively with anticoagulation. This case provides an opportunity to review echocardiographic findings and management decisions in this disease entity. As the literature now favors thrombolytic therapy in suitable patients, we present a case in which transthoracic echocardiography provided rapid assessment of the outcome of this form of therapy.
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J Am Soc Echocardiogr · Sep 1992
Contrast transesophageal echocardiographic demonstration of coronary artery fistula within left atrial appendage thrombus in mitral stenosis.
Coronary neovascularization and fistula formation arising from the left circumflex artery demonstrated by coronary angiography is a specific sign for the presence of left atrial appendage thrombus in patients with mitral stenosis. However, the fistula drainage site in the left atrium in relation to the thrombus cannot be ascertained by the angiographic method. ⋯ In these three patients, the transesophageal echocardiography confirmed the presence of a coronary fistula by identifying contrast exuding from the surface of the thrombus. Thus we have shown for the first time the usefulness of contrast transesophageal echocardiography in imaging the exact drainage site of coronary artery fistula from left atrial appendage thrombus.