ABSTRACT
We describe an adult patient with an acquired left ventricular-right atrial communication that was misdiagnosed as severe pulmonary hypertension (PH) by two-dimensional (2D) transthoracic echocardiography, but accurately detected on three-dimensional (3D) transthoracic echocardiography. Open heart surgery confirmed the defect.
Subject(s)
Diagnostic Errors , Echocardiography, Three-Dimensional/methods , Echocardiography/methods , Heart Septal Defects/diagnosis , Heart Ventricles/diagnostic imaging , Hypertension, Pulmonary/diagnosis , Female , Heart Atria/diagnostic imaging , Heart Atria/surgery , Heart Septal Defects/diagnostic imaging , Heart Septal Defects/surgery , Heart Ventricles/surgery , Humans , Middle AgedABSTRACT
We describe a patient with blunt traumatic chest injury in whom three-dimensional transthoracic echocardiography (3DTTE) confirmed the findings of a flail anterior tricuspid valve leaflet and ruptured anterior papillary muscle seen on two-dimensional transthoracic echocardiography, and in addition identified multiple chordae tendinae rupture of the posterior leaflet. Open heart surgery confirmed the findings. The emerging role of 3DTTE in defining the true extent of traumatic tricuspid valvular injury is highlighted.
