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Image in Cardiology
Left-sided endocarditis extending to the right chambers: Usefulness of three-dimensional echocardiography in preoperative assessment
Endocardite esquerda com extensão direita: utilidade da ecocardiografia tridimensional na avaliação pré-operatória
Zorba Blázquez Bermejoa,
Autor para correspondência
zorbablbe@gmail.com

Corresponding author.
, Teresa López Fernándeza, Ulises Ramírez Valdirisb, Juan Caro Codóna, Inés Ponz de Antonioa, Sandra Rosillo Rodrígueza, José María Mesa Garcíab, Mar Moreno Yangüelaa
a Cardiology Department, Hospital Universitario La Paz, Madrid, Spain
b Cardiac Surgery Deparment, Hospital Universitario La Paz, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0195" class="elsevierStylePara elsevierViewall">A 35-year-old man was admitted to our hospital because of dyspnea&#46; He had undergone surgery two months before&#44; in another hospital&#44; for replacement of the aortic and mitral valves with mechanical prostheses due to infective endocarditis&#46; No signs of active infection were found&#46; A IV&#47;VI holosystolic murmur was detected at the left sternal border&#46; On transthoracic echocardiography&#44; turbulent flow was observed in the anterior area of the aortic root &#40;AR&#41;&#46; Three-dimensional transesophageal echocardiography &#40;3D-TEE&#41; showed a pseudoaneurysm &#40;PA&#41; in the anterior area of the aortic annulus extending to the right atrium &#40;RA&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B&#44; <a class="elsevierStyleCrossRef" href="#sec0020">Video 1</a>&#41;&#46; Turbulent flow was detected from the PA to the RA &#40;blue arrow&#41; and to the right ventricle &#40;RV&#41; &#40;yellow arrow&#41;&#44; the latter through the base of the tricuspid septal leaflet &#40;TSL&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C and D&#44; white star&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0200" class="elsevierStylePara elsevierViewall">In the operating room&#44; a small defect was seen in the anterior area of the aortic annulus &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A&#41;&#46; After the RA was opened&#44; a PA communicating with the RA through the perimembranous septum was found &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>B and C&#41;&#46; The PA was opened and another defect was seen communicating with the RV through the base of the TSL &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>D&#41;&#46; Both defects were repaired with bovine pericardial patches&#44; the TSL was reconstructed and a new mechanical aortic prosthesis was implanted&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0205" class="elsevierStylePara elsevierViewall">In complex cases of endocarditis&#44; 3D-TEE provides an accurate picture of the anatomical defects&#44; which enables optimal planning of the surgical strategy&#46;</p><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0215" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0220" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0225" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0190" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Informação do artigo
ISSN: 08702551
Idioma original: Inglês
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2021 Julho 23 23 46
2021 Junho 26 23 49
2021 Maio 35 38 73
2021 Abril 50 43 93
2021 Maro 69 19 88
2021 Fevereiro 46 16 62
2021 Janeiro 30 6 36
2020 Dezembro 26 22 48
2020 Novembro 29 19 48
2020 Outubro 28 11 39
2020 Setembro 34 12 46
2020 Agosto 17 6 23
2020 Julho 41 7 48
2020 Junho 29 14 43
2020 Maio 28 3 31
2020 Abril 48 12 60
2020 Maro 35 7 42
2020 Fevereiro 70 18 88
2020 Janeiro 25 6 31
2019 Dezembro 44 18 62
2019 Novembro 47 5 52
2019 Outubro 48 5 53
2019 Setembro 27 11 38
2019 Agosto 36 9 45
2019 Julho 61 9 70
2019 Junho 40 9 49
2019 Maio 42 10 52
2019 Abril 33 20 53
2019 Maro 58 6 64
2019 Fevereiro 75 11 86
2019 Janeiro 80 7 87
2018 Dezembro 81 9 90
2018 Novembro 60 3 63
2018 Outubro 97 21 118
2018 Setembro 33 12 45
2018 Agosto 41 10 51
2018 Julho 20 5 25
2018 Junho 45 6 51
2018 Maio 24 7 31
2018 Abril 78 13 91
2018 Maro 64 12 76
2018 Fevereiro 47 4 51
2018 Janeiro 48 7 55
2017 Dezembro 65 14 79
2017 Novembro 74 12 86
2017 Outubro 19 13 32
2017 Setembro 29 14 43
2017 Agosto 26 12 38
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2017 Maio 72 36 108
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