title: Real-time three-dimensional transesophageal echocardiography is useful for the localization of a small mitral paravalvular leak.
abstract: The use of multiplane transesophageal echocardiography (TEE) to reconstruct 3-dimensional (3D) images is limited by time-consuming, multiplane image acquisition and the need for offline processing. To overcome these limitations, a 3D fully sampled matrix array transducer was recently developed to allow real-time acquisition and online display of 3D images. In this case, real-time 3D transesophageal echocardiography produced clear image of a small paraprosthetic leak point. Although the surgical view from the left atrium was poor due to severe adhesions, we were able to perform optimal repair of the small leak after intraoperative confirmation of the location of the leak that was identified by preoperative real-time 3D transesophageal echocardiography.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan. furukako@cc.saga-u.ac.jp
authors.forename: Kojiro
authors.initials: K
authors.lastname: Furukawa
authors.forename: Keiji
authors.initials: K
authors.lastname: Kamohara
authors.forename: Manabu
authors.initials: M
authors.lastname: Itoh
authors.forename: Akira
authors.initials: A
authors.lastname: Furutachi
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Mukae
authors.forename: Shigeki
authors.initials: S
authors.lastname: Morita
mesh_terms: D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome