Live/real time three-dimensional transthoracic echocardiography in the evaluation of post traumatic acquired thoracic aortic coarctation.
We report a young patient with post traumatic acquired thoracic aortic coarctation in whom three-dimensional transthoracic echocardiography (3DTTE) demonstrated incremental value over two-dimensional transthoracic echocardiography (2DTTE). 3DTTE showed (1) en face views of the obstruction site that showed a markedly narrowed, roughly circular orifice measuring 0.33 cm(2) in area, (2) echogenic tissue encroaching on the graft lumen consistent with fibrosis/thrombus, and (3) no graft protrusion into the aortic lumen, only hypermobility of the medial portion of the graft. These important findings were not detected by 2DTTE.
Singh
Preeti
P
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA.
Hernandez
Carlos Martinez
CM
Singh
Balwinder
B
Kuruba
Mahesh
M
Samar
Amena
A
Nanda
Navin C
NC
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging* / Q000293:injuries*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging* / Q000209:etiology; D003199:Computer Systems; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D055815:Young Adult