engleski

Three-dimensional echocardiographic diagnosis of intracardiac masses

Echocardiography is a fundamentally important procedure for the evaluation if intracardiac masses, and can reliably identify mass location, shape, dimension, attachment and mobility. Intracardiac masses can easilly be detected by transesophageal echocardiography (TEE). Detection of intracardiac masses often represents a difficulty for transthoracic echocardiography (TTE) due to its smaller dimension or location in the left atrial appendage or the right atrium that cannot be adeguately analysed by this technigue. Diagnostic problem also occur in same patients with a poor "echo window" and in patients on mechanical ventilatory support. Echocardiography can usually distinguish between the three principal intracardiac masses: thrombus, tumor and vegetation. Three-dimensional (3D) echocardiography provide better understanding and assessment of intracardial masses than 2D echocardiography. Imaging plays a pivotal role in the diagnosis and surgical planning of cardiac masses treatment. Cardiac tumors are found in 0.001% to 0.28% of cases in pathoanatomic studies. Approximately 75% of cardiac tumors are benign, and the most common cardiac tumors is the myxoma. We report our experience with 3D TEE for the assessment of intracardiac masses. We presented LV and RV thrombus, LAA thrombus, LA myxoma and vegetation on native and prosthetic mitral valve diagnosed by 3D echocardiography.

3D echocardiography ; cardiac imaging ; cardiac tumor ; vegetation ; intracardiac masses

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