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

Echo Research & Practice volume 6, pages k23–k30 (2019)Cite this article

Summary

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.

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This work did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

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Authors and Affiliations

  1. Department of Cardiology, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK

    Viren Ahluwalia BSc MBChB, Faizel Osman MBBCh MD FRCP FESC & Jamal Nasir Khan PhD MBChB BMedSci MRCP

  2. Warwick Medical School, Warwick University, Coventry, UK

    Faizel Osman MBBCh MD FRCP FESC & Jitendra Parmar BSc MBChB FRCS

Authors
  1. Viren Ahluwalia BSc MBChB
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  2. Faizel Osman MBBCh MD FRCP FESC
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  3. Jitendra Parmar BSc MBChB FRCS
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  4. Jamal Nasir Khan PhD MBChB BMedSci MRCP
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Corresponding author

Correspondence to Viren Ahluwalia BSc MBChB.

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Ahluwalia, V., Osman, F., Parmar, J. et al. 3D echocardiography allows rapid and accurate surgical planning in complex aortic root abscess cases. Echo Res Pract 6, k23–k30 (2019). https://doi.org/10.1530/ERP-19-0043

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  • DOI: https://doi.org/10.1530/ERP-19-0043

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Echo Research & Practice

ISSN: 2055-0464

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