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Real Time Three‐Dimensional Echocardiography and Endovascular Stenting
Author(s) -
Abusaid Ghassan H.,
Cheema Omar M.,
Xie Tianrong,
MercadoYoung Rosario A.,
Ahmad Masood
Publication year - 2012
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/j.1540-8175.2012.01730.x
Subject(s) - medicine , stent , endocarditis , superior vena cava , stenosis , cardiology , chills , radiology , surgery
A 52‐year‐old male with HIV and chronic renal failure presented with 2‐day history of fever and chills. He hadrecent superior vena cava (SVC) stent placement for SVC stenosis following multiple dialysis‐catheter insertions.Patient's blood cultures grew methicillin‐resistant staphylococcus aureus. Two‐dimensional (2D) echocardiographyshowed no vegetations. With high clinical suspicion, 2D transesophageal echocardiogram (TEE) was obtained andconfi rmed no endocarditis and patent stent at SVC right atrial junction; however, entire stent was not visualized.Simultaneous three‐dimensional TEE provided superior views of SVC stent in cross‐sectional and longitudinalplanes, clearly demonstrating patent stent without vegetations, stenosis, migration, or thrombosis.