• DOI:10.1510/icvts.2010.257188
• Corpus ID: 1412282

Three-dimensional transesophageal echocardiography: diagnosing intraoperative pulmonary artery thrombus.

@article{Scohy2011ThreedimensionalTE,
  title={Three-dimensional transesophageal echocardiography: diagnosing intraoperative pulmonary artery thrombus.},
  author={Thierry V. Scohy and Christian L{\"u}then and Jackie McGhie and Frans B Oei},
  journal={Interactive cardiovascular and thoracic surgery},
  year={2011},
  volume={12 5},
  pages={
          840-1
        }
}

• T. Scohy, C. Lüthen, +1 author F. Oei
• Published 1 May 2011
• Medicine
• Interactive cardiovascular and thoracic surgery

A 61-year-old patient with the diagnosis of acute heart failure based on severe mitral valve insufficiency due to chordae rupture was scheduled for surgery. Intraoperatively, a standard two-dimensional transesophageal echocardiogram (2D-TEE) examination, revealed severe mitral valve regurgitation due to a prolaps with chordal rupture and an echo dense structure in the pulmonary artery (PA). Because it was not possible to visualize this echo dense structure fully with 2D-TEE we performed a three-dimensional transesophageal echocardiogram (3D-TEE). On the basis of the clear demonstration on 3D-TEE of an at least 6-cm thrombus in the PA we decided to remove the thrombus prior to proceeding with the mitral valve repair. We conclude that 3D-TEE can alter surgical management and provide more valuable information on PA thrombus than that obtained by 2D-TEE.