RESUMEN
We present a 32-year-old male with metastatic thymic carcinoma invading the left atrium in whom two-dimensional transesophageal echocardiography was able to differentiate a thrombus superimposed on the tumor.
Asunto(s)
Ecocardiografía Transesofágica/métodos , Atrios Cardíacos/diagnóstico por imagen , Neoplasias Cardíacas/diagnóstico por imagen , Neoplasias Cardíacas/secundario , Trombosis/complicaciones , Trombosis/diagnóstico por imagen , Adulto , Neoplasias Cardíacas/complicaciones , Humanos , MasculinoRESUMEN
We present a patient with an accidental self-inflicted stab wound to his right thigh in whom three-dimensional (3D) ultrasound was able to find two communications between the right femoral artery and the femoral vein, in contrast to two-dimensional (2D) peripheral ultrasound which could find only one communication between them, thereby showing an incremental value of 3D over 2D ultrasound.
Asunto(s)
Fístula Arteriovenosa/diagnóstico por imagen , Fístula Arteriovenosa/etiología , Arteria Femoral/diagnóstico por imagen , Arteria Femoral/lesiones , Vena Femoral/diagnóstico por imagen , Imagenología Tridimensional , Muslo/irrigación sanguínea , Ultrasonografía/métodos , Heridas Punzantes/diagnóstico por imagen , Accidentes de Trabajo , Adulto , Fístula Arteriovenosa/cirugía , Arteria Femoral/cirugía , Vena Femoral/cirugía , Humanos , Masculino , Muslo/diagnóstico por imagen , Muslo/lesiones , Heridas Punzantes/cirugíaRESUMEN
We describe a 77-year-old female with hypertrophic cardiomyopathy in whom live/real time three-dimensional transesophageal echocardiography (3DTEE) provided incremental value over two-dimensional transthoracic and transesophageal echocardiography (2DTTE, 2DTEE) and three-dimensional transthoracic echocardiography (3DTTE) in making a more comprehensive assessment and a more confident diagnosis of caseous mitral annular calcification. 3DTEE revealed a portion of the mass to consist of small, multiple, highly echogenic discrete band-like and punctate areas within a relatively much less echogenic stroma and surrounded by a well defined highly echogenic border. This appearance correlated with the pathological findings of calcific granules/strands located in a liquefied or semiliquefied interior providing a typical toothpaste like appearance. The highly echogenic outer border represented the residual outer portion or rim of the calcific mass which did not undergo liquefaction. These findings on 3DTEE which correlated with the toothpaste like appearance seen at surgery were not visualized on 2DTTE, 2DTEE, and 3DTTE.