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The Important but Underappreciated Transgastric Right Ventricular Inflow View for Transesophageal Echocardiographic Evaluation of Cardiac Implantable Device Infections
Author(s) -
Allred Clint,
Crandall Mark,
Auseon Alex
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12018
Subject(s) - medicine , cardiology , complication , inflow , dobutamine , vegetation (pathology) , apex (geometry) , hemodynamics , pathology , physics , mechanics , anatomy
Device infection is a potential complication of cardiovascular implantable electronic devices. We report a case of a 40‐year‐old man with nonischemic cardiomyopathy, status post biventricular implantable cardiac defilbrillator placement on continuous home dobutamine, who presented with methicillin‐resistant Staphylococcus aureus bacteremia. Transesophageal echocardiography showed a 2.4 cm vegetation near the right ventricular (RV) apex that was only seen in the transgastric RV inflow view. This case demonstrates an atypical distal location for a vegetation and illustrates the importance of obtaining multiple views, including the transgastric RV inflow view, when evaluating for device wire vegetations.