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3D echocardiography allows rapid and accurate surgical planning in complex aortic root abscess cases

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Ahluwalia, Viren, Osman, Faizel, Parmar, Jitendra and Khan, Jamal Nasir (2019) 3D echocardiography allows rapid and accurate surgical planning in complex aortic root abscess cases. Echo Research and Practice, 6 (4). K23-K30. doi:10.1530/ERP-19-0043 ISSN 2055-0464.

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Official URL: http://dx.doi.org/10.1530/ERP-19-0043

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Abstract

Despite 3D echocardiography (3DE) acquiring significantly greater data than standard 2D echocardiography (2DE), it is underutilised in assessing cardiac anatomy and physiology. A key advantage is the ability of a single 3DE acquisition to be post-processed to generate volume-rendered 3D models and an unlimited number of multiplanar reconstruction (MPR) images. We describe the case of a highly anxious patient with life-threatening complex aortic valve endocarditis and aortic root abscess, refusing transesophageal echocardiography (TOE) under general anaesthesia with tachycardia, breathlessness and acute kidney injury precluding accurate or safe gated (computed tomography) CT, who was comprehensively assessed with a rapid 3D-TOE under sedation. This led to timely surgery and an excellent outcome for the patient.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Echocardiography, Cardiology, Heart -- Surgery, Heart -- Diseases -- Diagnosis
Journal or Publication Title: Echo Research and Practice
Publisher: BioScientifica Ltd.
ISSN: 2055-0464
Official Date: 2019
Dates:
DateEvent
2019Published
1 December 2019Available
1 December 2019Accepted
Volume: 6
Number: 4
Page Range: K23-K30
DOI: 10.1530/ERP-19-0043
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 17 January 2020
Date of first compliant Open Access: 30 January 2020

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