title: Delineation of the etiology of a mass-like echo density in the left ventricle using three-dimensional transthoracic echocardiography.
abstract: Live/real time three-dimensional transthoracic echocardiography (3DTTE) provides an incremental value in the delineation of various cardiac pathologies. In this study, two-dimensional transthoracic echocardiography (2DTTE) of a 56-year-old patient showing a prominent echo density suggestive of a mass in the left ventricle probably attached to the ventricular side of the anterior mitral leaflet, is reported. Systematic cropping of the 3DTTE dataset showed the mass to be a calcified mitral strut chord viewed in cross section. This is well visualized in the accompanying movie clip. This case highlights the advantage of 3DTTE in which the whole of the ventricle including the mitral valve apparatus is captured in the dataset facilitating cropping at any desired angulation.
authors.affiliation: Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama 35249,, USA.
authors.forename: Shivlal
authors.initials: S
authors.lastname: Pandey
authors.forename: Selvin
authors.initials: S
authors.lastname: Sudhakar
authors.forename: Navin C
authors.initials: NC
authors.lastname: Nanda
authors.forename: Valerie
authors.initials: V
authors.lastname: Zarza-Geron
authors.forename: Adil-Ahmed
authors.initials: AA
authors.lastname: Patel
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging*; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging*