Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report

Intraoperative three-dimensional (3D) transesophageal echocardiography (TEE) facilitates an understanding of the complex cardiac pathology that is not fully delineated in a two-dimensional (2D) echocardiographic evaluation, and it suggests earlier and more precise surgical planning and intraoperativ...

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Main Authors: Tae-Yun Sung, Won-Kyoung Kwon, Dong-Ho Park, Cheol-Hwan Park, Tae-Yop Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2015-10-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-68-505.pdf
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author Tae-Yun Sung
Won-Kyoung Kwon
Dong-Ho Park
Cheol-Hwan Park
Tae-Yop Kim
author_facet Tae-Yun Sung
Won-Kyoung Kwon
Dong-Ho Park
Cheol-Hwan Park
Tae-Yop Kim
author_sort Tae-Yun Sung
collection DOAJ
description Intraoperative three-dimensional (3D) transesophageal echocardiography (TEE) facilitates an understanding of the complex cardiac pathology that is not fully delineated in a two-dimensional (2D) echocardiographic evaluation, and it suggests earlier and more precise surgical planning and intraoperative decision making. In the present case, the intraoperative 2D-TEE midesophageal long-axis view indicated a significant narrowing of the left ventricular outflow tract (LVOT) area by a band-like structure that vertically traversed the middle of the LVOT and connected to the anterior mitral leaflet base and the interventricular septum. However, additional 3D-TEE images of the LVOT and their cropped and rendered 2D images showed that web-like tissue, which presumably had grown around the patch closure from a previous atrioventricular septal defect, was obstructing the LVOT partially.
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spelling doaj.art-54b3dbcb656544a392e618066f9ce2d72022-12-22T00:05:50ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632015-10-0168550550810.4097/kjae.2015.68.5.5058115Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case reportTae-Yun Sung0Won-Kyoung Kwon1Dong-Ho Park2Cheol-Hwan Park3Tae-Yop Kim4Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.Intraoperative three-dimensional (3D) transesophageal echocardiography (TEE) facilitates an understanding of the complex cardiac pathology that is not fully delineated in a two-dimensional (2D) echocardiographic evaluation, and it suggests earlier and more precise surgical planning and intraoperative decision making. In the present case, the intraoperative 2D-TEE midesophageal long-axis view indicated a significant narrowing of the left ventricular outflow tract (LVOT) area by a band-like structure that vertically traversed the middle of the LVOT and connected to the anterior mitral leaflet base and the interventricular septum. However, additional 3D-TEE images of the LVOT and their cropped and rendered 2D images showed that web-like tissue, which presumably had grown around the patch closure from a previous atrioventricular septal defect, was obstructing the LVOT partially.http://ekja.org/upload/pdf/kjae-68-505.pdfleft ventricular outflow tractthree dimensional echocardiography
spellingShingle Tae-Yun Sung
Won-Kyoung Kwon
Dong-Ho Park
Cheol-Hwan Park
Tae-Yop Kim
Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
Korean Journal of Anesthesiology
left ventricular outflow tract
three dimensional echocardiography
title Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
title_full Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
title_fullStr Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
title_full_unstemmed Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
title_short Intraoperative three-dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract: a case report
title_sort intraoperative three dimensional transesophageal echocardiography for evaluating an unusual structure in the left ventricular outflow tract a case report
topic left ventricular outflow tract
three dimensional echocardiography
url http://ekja.org/upload/pdf/kjae-68-505.pdf
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AT donghopark intraoperativethreedimensionaltransesophagealechocardiographyforevaluatinganunusualstructureintheleftventricularoutflowtractacasereport
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