Subject(s)
Coronary Sinus/diagnostic imaging , Defibrillators, Implantable/adverse effects , Device Removal/adverse effects , Fistula/diagnostic imaging , Heart Atria/diagnostic imaging , Heart Septal Defects, Atrial/diagnostic imaging , Aged, 80 and over , Animals , Cattle , Coronary Sinus/surgery , Female , Fistula/surgery , Heart Atria/surgery , Heart Septal Defects, Atrial/surgery , Humans , UltrasonographyABSTRACT
We describe a case of acute cardiac failure in a patient involved in a motor vehicle accident. A diagnosis of acute mitral regurgitation and left atrioventricular disruption was made with transesophageal echocardiography. Successful repair was performed using the mitral valve leaflets to patch the disruption followed by valve replacement.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Injuries/surgery , Thoracic Injuries/surgery , Wounds, Nonpenetrating/surgery , Accidents, Traffic , Echocardiography, Transesophageal , Female , Heart Atria/diagnostic imaging , Heart Atria/injuries , Heart Injuries/diagnostic imaging , Heart Injuries/etiology , Heart Ventricles/diagnostic imaging , Heart Ventricles/injuries , Heart Ventricles/surgery , Humans , Middle Aged , Mitral Valve/diagnostic imaging , Mitral Valve/injuries , Mitral Valve/surgery , Mitral Valve Insufficiency/diagnostic imaging , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/surgery , Thoracic Injuries/complications , Wounds, Nonpenetrating/complicationsABSTRACT
Mycotic endoaortitis is a rarely occurring infectious entity with an extremely high mortality rate. We report an uncommon case of Phialemonium endoaortits with its management. This large fungal thrombus in the ascending aorta caused significant impediment to the blood flow.
Subject(s)
Aneurysm, Infected/therapy , Aortic Aneurysm/therapy , Mycoses/diagnosis , Thrombosis/therapy , Adult , Aneurysm, Infected/diagnostic imaging , Aorta/diagnostic imaging , Aorta/physiopathology , Aortic Aneurysm/diagnostic imaging , Combined Modality Therapy , Echocardiography, Transesophageal , Female , Follow-Up Studies , Humans , Mycoses/therapy , Phialophora/isolation & purification , Regional Blood Flow , Thrombosis/microbiology , Treatment OutcomeABSTRACT
Explanted hearts from patients with chronic left ventricular assist device (LVAD) support have shown the presence of aortic cusp fusion, which results in valvular stenosis and may complicate weaning of a LVAD. This is the first report of aortic cusp fusion diagnosed solely by transesophageal echocardiography (TEE) in vivo in a patient on chronic LVAD support. Under intraoperative TEE guidance, a 41-year-old woman underwent an attempted explantation of a LVAD, which had been implanted 8 months before for dilated cardiomyopathy. When LVAD support was discontinued, previously normal left ventricular function deteriorated, and aortic stenosis from aortic valve cusp fusion was documented by TEE. The explantation procedure was abandoned. This case demonstrates the utility of intraoperative TEE in the evaluation of aortic valvular anatomy and function in patients wtih chronic LVAD support.
Subject(s)
Aortic Valve Insufficiency/diagnostic imaging , Aortic Valve/abnormalities , Aortic Valve/diagnostic imaging , Cardiomyopathy, Dilated/surgery , Heart-Assist Devices/adverse effects , Ventricular Dysfunction, Left/surgery , Adult , Aortic Valve/injuries , Aortic Valve Insufficiency/etiology , Cardiomyopathy, Dilated/complications , Cardiomyopathy, Dilated/diagnostic imaging , Female , Humans , Treatment Outcome , Ultrasonography , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/diagnostic imagingABSTRACT
Diagnosis of a patent foramen ovale prior to left ventricular assist device placement can be quite difficult, and if missed may result in a significant hypoxemia due to a right to left shunt. We describe a simple and precise way to increase the diagnostic accuracy of patent foramen ovale detection prior to initiating cardiopulmonary bypass for left ventricular assist device placement.
