ABSTRACT
: Transesophageal echocardiography is frequently performed for further evaluation of sources of embolism and better evaluation of atrial septum in patients with cerebral ishemic events. Although two-dimensional transesophageal echocardiography can depict atrial septal aneurysm and patent foramen ovale, the full extent of the patent foramen ovale cannot be easily discerned in some cases. We describe a patient with transient cerebral ischemia where three-dimensional echocardiography provided incremental value when compared to two-dimensional transesophageal echocardiography in the assessment of atrial septal aneurysm and patent foramen ovale.
Subject(s)
Atrial Septum/diagnostic imaging , Echocardiography, Doppler, Color , Echocardiography, Three-Dimensional , Echocardiography, Transesophageal , Foramen Ovale, Patent/diagnostic imaging , Heart Aneurysm/diagnostic imaging , Atrial Septum/physiopathology , Brain Ischemia/etiology , Coronary Circulation , Foramen Ovale, Patent/complications , Foramen Ovale, Patent/physiopathology , Heart Aneurysm/complications , Heart Aneurysm/physiopathology , Hemodynamics , Humans , Male , Middle Aged , Predictive Value of TestsSubject(s)
Aortic Valve/diagnostic imaging , Aortic Valve/pathology , Echocardiography, Transesophageal , Heart Valve Diseases/diagnostic imaging , Aorta/surgery , Aortic Aneurysm/surgery , Aortic Valve/surgery , Blood Vessel Prosthesis Implantation , Diagnosis, Differential , Humans , Male , Middle Aged , Rupture, SpontaneousSubject(s)
Aortic Valve Insufficiency/complications , Aortic Valve Insufficiency/diagnostic imaging , Arteriovenous Fistula/complications , Arteriovenous Fistula/diagnostic imaging , Coronary Vessel Anomalies/complications , Coronary Vessel Anomalies/diagnostic imaging , Adult , Aortic Valve Insufficiency/surgery , Arteriovenous Fistula/surgery , Coronary Vessel Anomalies/surgery , Coronary Vessels/diagnostic imaging , Coronary Vessels/surgery , Diagnosis, Differential , Humans , Male , UltrasonographySubject(s)
Echocardiography, Transesophageal/methods , Fibroma/diagnostic imaging , Fibroma/surgery , Heart Neoplasms/diagnostic imaging , Heart Neoplasms/surgery , Myxoma/diagnostic imaging , Myxoma/surgery , Neoplasms, Multiple Primary/diagnostic imaging , Neoplasms, Multiple Primary/surgery , Aged , Diagnosis, Differential , Female , Heart Atria/diagnostic imaging , Heart Atria/surgery , Humans , Rare Diseases/diagnostic imaging , Rare Diseases/surgeryABSTRACT
Pericardial cysts are most commonly located at the cardiophrenic angle or, rarely, in the posterior or anterior superior mediastinum. The majority of pericardial cysts are asymptomatic and are found incidentally. Symptomatic pericardial cysts present with dyspnoea, chest pain, or persistent cough. We describe four patients with symptomatic pericardial cysts who were treated with either echocardiographically guided percutaneous aspiration or video-assisted thoracoscopic surgery, or both; thoracotomy; or conservative therapy.
Subject(s)
Mediastinal Cyst/diagnostic imaging , Aged , Biopsy, Needle , Female , Humans , Mediastinal Cyst/pathology , Middle Aged , Pericardiectomy , Radiography, Thoracic , Thoracic Surgery, Video-Assisted , Tomography, X-Ray Computed , Ultrasonography, InterventionalABSTRACT
Takotsubo cardiomyopathy is an acute cardiac syndrome characterized by transient regional wall motion abnormalities of the left ventricular apex or midventricle. Patients often present with chest pain or dyspnoea, ST-segment elevation, and minor elevations of cardiac enzyme levels. Takotsubo cardiomyopathy has been associated with severe emotional or physical stress such as severe burns, spinal cord injury, subarachnoid haemorrhage, and multiple traumas. We report a case of takotsubo cardiomyopathy in a 79-year-old woman with pulmonary embolism. Although pulmonary embolism has been listed as a potential cause of takotsubo cardiomyopathy, this is the first case reported with this association.
