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Abstract
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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Details
1 University Hospitals of Coventry and Warwickshire NHS Trust, Department of Cardiology, Coventry, UK (GRID:grid.15628.38) (ISNI:0000 0004 0393 1193)
2 University Hospitals of Coventry and Warwickshire NHS Trust, Department of Cardiology, Coventry, UK (GRID:grid.15628.38) (ISNI:0000 0004 0393 1193); Warwick University, Warwick Medical School, Coventry, UK (GRID:grid.7372.1) (ISNI:0000 0000 8809 1613)
3 Warwick University, Warwick Medical School, Coventry, UK (GRID:grid.7372.1) (ISNI:0000 0000 8809 1613)