RESUMO
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.
Assuntos
Ecocardiografia Transesofagiana/métodos , Átrios do Coração/diagnóstico por imagem , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/secundário , Trombose/complicações , Trombose/diagnóstico por imagem , Adulto , Neoplasias Cardíacas/complicações , Humanos , MasculinoRESUMO
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.
Assuntos
Fístula Arteriovenosa/diagnóstico por imagem , Fístula Arteriovenosa/etiologia , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/lesões , Veia Femoral/diagnóstico por imagem , Imageamento Tridimensional , Coxa da Perna/irrigação sanguínea , Ultrassonografia/métodos , Ferimentos Perfurantes/diagnóstico por imagem , Acidentes de Trabalho , Adulto , Fístula Arteriovenosa/cirurgia , Artéria Femoral/cirurgia , Veia Femoral/cirurgia , Humanos , Masculino , Coxa da Perna/diagnóstico por imagem , Coxa da Perna/lesões , Ferimentos Perfurantes/cirurgiaRESUMO
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.
