A hole in the heart
We present the case of a 91-year-old male whose percutaneous aortic valve replacement was complicated by perforation of the left ventricular (LV) apex caused by an extra-stiff guidewire. Although two-dimensional echocardiography was able to demonstrate a small hole at the LV apex and the presence of...
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| Main Authors: | , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
[July 2010]
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| In: |
European journal of echocardiography
Year: 2010, Volume: 11, Issue: 6 |
| ISSN: | 1532-2114 |
| DOI: | 10.1093/ejechocard/jeq029 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/ejechocard/jeq029
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| Author Notes: | Dariusch Haghi, Tim Suselbeck, and Theano Papavassiliu |
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| 520 | |a We present the case of a 91-year-old male whose percutaneous aortic valve replacement was complicated by perforation of the left ventricular (LV) apex caused by an extra-stiff guidewire. Although two-dimensional echocardiography was able to demonstrate a small hole at the LV apex and the presence of an LV pseudo-aneurysm, the exact size and shape of the hole could not be readily appreciated. Thus, three-dimensional (3D) echocardiography was performed and an oval-shaped hole of roughly 0.8 cm 2 could be clearly visualized. This case illustrates the unique value of 3D echocardiography in visualizing geometry and flow across LV rupture sites. | ||
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