Document Type

Article

Disciplines

Medicine and Health Sciences

Abstract

A 62-year-old man presented with acute decompensated heart failure. His medical history included heart failure with preserved ejection fraction and infective endocarditis. Two-dimensional transthoracic echocardiography (TTE) showed eccentric aortic insufficiency, the mechanism and severity of which could not be accurately determined because multiple jets were present (Fig. 1A and 1B). Three-dimensional (3D) transesophageal echocardiography (TEE) of the aortic valve showed major perforations in the right coronary and noncoronary cusps and small perforations in the left coronary cusp; moderate thickening was consistent with prior endocarditis (Fig. 1C and 1D). Visual examination of the excised aortic valve confirmed these findings (Fig. 2).

Comments

Aortic valve perforation diagnosed with use of 3-dimensional transesophageal echocardiography.

Alluri N, Kumar S, Marfatia R, Patil P, Ryan J, Avelar E.

Tex Heart Inst J. 2012;39(4):590-1. No abstract available.

PMID: 22949789 [PubMed - in process] Free PMC Article

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