Severe aortic regurgitation from aortic valve perforation in Libman‐Sacks endocarditis: Incremental value of 3D TEE

Adil, Amina; Kazmi, Faraz Nasim; Malik, Ijaz A; Ammar, Khawaja Afzal

doi:10.1111/echo.15491

Cited by 2 publications

(3 citation statements)

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“…Since cropping planes are utilized to obtain images from any direction, 3D TOE has the advantage of providing perspectives that 2D alone cannot, allowing comprehension of the entire morphology of the vegetation (Figure 1, Video S1A-C). According to several studies [16][17][18][19] and case reports, [20][21][22][23][24] 3D TOE is superior in the assessment of suspected IE due to its ability to provide visual representation of the leaflets in an en-face view.…”

Section: Vegetationsmentioning

confidence: 99%

“…Measures true size of vegetations while avoiding underestimations caused by 2D TOE 16,17,28 Improved morphological characterization of the vegetation 16,23 More accurate determination of embolic risk 16,17 Useful in patients with PV (mechanical, biological or TAVR), as 3D TOE may enable the identification of vegetations that are not apparent with 2D TOE 29,30 Enhanced abscess visualization 21,[29][30][31][32][33] Improved characterization of the anatomical relationship between the periannular extensions and the proximal coronary arteries 29 Abscess Improved characterization of paraaortic abscesses in PV IE 31 Better visualization of pseudoaneurysms 24 Pseudoaneurysm Possible additive value of TI, for increasing the depth perception Perforation Increased capacity to visualize perforations due to visualization of the leaflets en face 22,24 Quantification of multiple regurgitant jets…”

Section: Vegetationmentioning

confidence: 99%

“…These findings were not interpreted as false positive, but rather as a possible limitation in surgical exploration resulting from the restricted visual field and the greater challenge in identifying leaflet perforations 18 . Several other case studies have been published that also emphasize the importance of utilizing 3D TOE for improved visualization of complications associated with the infectious process, including MV ring abscesses, 21 pseudoaneurysms, cusp perforations, 22,24 fistulas, 20 or complex valvular damage 24 …”

Section: Addition Of Conventional 3d Toe To 2d Toementioning

confidence: 99%

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Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Tomoaia,

Beyer,

Dădârlat‐Pop

et al. 2023

Eur J Clin Investigation

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BackgroundDespite the availability of current antibiotic and surgical treatment options, infective endocarditis (IE) remains associated with a high mortality rate. Even though two‐dimensional (2D) transesophageal echocardiography (TOE) is a major criteria in the diagnosis of IE, it is constrained by the single‐plane orientation. Since three‐dimensional (3D) TOE provides a comprehensive understanding of the cardiac architecture by allowing for a realistic visualization of the underlying structures in 3D space, it has attracted considerable interest in recent years.AimThe purpose of this narrative review is to discuss the advantages and pitfalls of 3D TOE in patients with IE, as well as to address emerging photo‐realistic 3D techniques that have the potential to enhance the visualization of cardiac structures in this setting.ResultsAccording to recent research, 3D TOE acquisitions outperform 2D acquisitions in terms of vegetation identification accuracy and embolism risk assessment. By reporting a variety of findings that are missed with 2D TOE, but which are validated by surgical examination, 3D TOE further improves the ability to identify endocarditis complications on both native and prosthetic valves. In addition to conventional 3D TOE, future developments in 3D technology led to the development of transillumination and tissue‐transparency rendering, which may improve anatomical understanding and depth perception. Due to the use of both conventional and novel 3D techniques, there are more patients who require surgical intervention, indicating that 3D TOE may have a clinical relevance on the surgical management.Conclusion3D TOE might fill the gaps left by 2D TOE in the diagnosis of IE.

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Section: Vegetationsmentioning

confidence: 99%

Section: Vegetationmentioning

confidence: 99%

Section: Addition Of Conventional 3d Toe To 2d Toementioning

confidence: 99%

See 1 more Smart Citation

Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Tomoaia,

Beyer,

Dădârlat‐Pop

et al. 2023

Eur J Clin Investigation

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Role of 3D transoesophageal echocardiography in the study of infective endocarditis. Demonstration in a case collection

Baltodano-Arellano,

Huaman-Carrasco,

Cupe-Chacalcaje

et al. 2024

European Heart Journal - Imaging Methods and Practice

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Infective endocarditis (IE) is a condition that predominantly affects native or prosthetic heart valves, currently on the rise due to the increase in invasive cardiology procedures, such as cardiac implantable electronic devices (CIED), and transcatheter interventions. 2D transthoracic echocardiography (2D TTE) and 2D transesophageal echocardiography (2D TEE) are the recommended imaging tests for diagnosis. However, these modalities present limitations in detecting vegetations and estimating their dimensions, which are overcome by three-dimensional transesophageal echocardiography (3D TEE), particularly with the multiplanar reconstruction (MPR) tool that allows us to have infinite valve planes, and thus optimize the detection of lesions and precise measurements. Additionally, the realism of the volume rendering illustrates the anatomical relationship of the lesions, useful for surgical planning. In this review, we aim to discuss the role of this recent imaging modality in the diagnosis, prognosis, and therapeutic planning of IE. Finally, we present a collection of images that illustrate the use of 3D TEE tools.

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Severe aortic regurgitation from aortic valve perforation in Libman‐Sacks endocarditis: Incremental value of 3D TEE

Cited by 2 publications

References 0 publications

Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Role of 3D transoesophageal echocardiography in the study of infective endocarditis. Demonstration in a case collection

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