Off-Pump Tricuspid Valved Stent Implantation: Real-Time Three-Dimensional Transesophageal Echocardiography for Guidance and Assessment

In this case report, the value of real-time three-dimensional transesophageal echocardiography (TEE) for guidance and assessment of orthotopic tricuspid valved stent implantation in the beating heart is assessed in four pigs. A full two-dimensional TEE evaluation of standardized parameters was conducted. Three-dimensional TEE provided dependable imaging of anatomical structures of the right side of the heart, the delivery system, and the valved stent, allowing easier orientation and more accurate views for the surgical team. Although visualization of the tricuspid valve in the porcine model is challenging, it contributed highly to the successful implantation of the tricuspid valved stent.

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Off-Pump Tricuspid Valved Stent Implantation: Real-Time Three-Dimensional Transesophageal Echocardiography for Guidance and Assessment

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/155698451400900511 ◽

2014 ◽

Vol 9 (5) ◽

pp. 383-387

Author(s):

Saskia Pokorny ◽

Katharina Huenges ◽

Jan-Paul Gundlach ◽

Derk Frank ◽

Justus Groß ◽

...

Keyword(s):

Transesophageal Echocardiography ◽

Real Time ◽

Stent Implantation ◽

Three Dimensional ◽

Off Pump

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Off-pump mitral valved stent implantation guided by Real-Time 3D-Transesophageal Echocardiography

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0032-1332521 ◽

2013 ◽

Vol 61 (S 01) ◽

Author(s):

K Huenges ◽

S Pokorny ◽

T Bähr ◽

F Bönke ◽

HD Dai ◽

...

Keyword(s):

Transesophageal Echocardiography ◽

Real Time ◽

Stent Implantation ◽

Off Pump ◽

3D Transesophageal Echocardiography

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Value of real-time three-dimensional transthoracic echocardiography in comparison to three-dimensional transesophageal echocardiography for planning of mitral valve surgery

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2005-862124 ◽

2005 ◽

Vol 53 (S 01) ◽

Author(s):

C Detter ◽

O Franzen ◽

T Hofmann ◽

H Ruschewski ◽

T Meinertz ◽

...

Keyword(s):

Mitral Valve ◽

Transesophageal Echocardiography ◽

Real Time ◽

Transthoracic Echocardiography ◽

Three Dimensional ◽

Mitral Valve Surgery ◽

Valve Surgery

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Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review

Seminars in Thrombosis and Hemostasis ◽

10.1055/s-0040-1718399 ◽

2020 ◽

Vol 46 (08) ◽

pp. 895-907

Author(s):

Nina D. Anfinogenova ◽

Oksana Y. Vasiltseva ◽

Alexander V. Vrublevsky ◽

Irina N. Vorozhtsova ◽

Sergey V. Popov ◽

...

Keyword(s):

Atrial Fibrillation ◽

Pulmonary Embolism ◽

High Risk ◽

Transesophageal Echocardiography ◽

Three Dimensional ◽

Right Atrial ◽

Treatment Protocols ◽

High Risk Patients ◽

Risk Patients ◽

The Right

AbstractPrompt diagnosis of pulmonary embolism (PE) remains challenging, which often results in a delayed or inappropriate treatment of this life-threatening condition. Mobile thrombus in the right cardiac chambers is a neglected cause of PE. It poses an immediate risk to life and is associated with an unfavorable outcome and high mortality. Thrombus residing in the right atrial appendage (RAA) is an underestimated cause of PE, especially in patients with atrial fibrillation. This article reviews achievements and challenges of detection and management of the right atrial thrombus with emphasis on RAA thrombus. The capabilities of transthoracic and transesophageal echocardiography and advantages of three-dimensional and two-dimensional echocardiography are reviewed. Strengths of cardiac magnetic resonance imaging (CMR), computed tomography, and cardiac ventriculography are summarized. We suggest that a targeted search for RAA thrombus is necessary in high-risk patients with PE and atrial fibrillation using transesophageal echocardiography and/or CMR when available independently on the duration of the disease. High-risk patients may also benefit from transthoracic echocardiography with right parasternal approach. The examination of high-risk patients should involve compression ultrasonography of lower extremity veins along with the above-mentioned technologies. Algorithms for RAA thrombus risk assessment and protocols aimed at identification of patients with RAA thrombosis, who will potentially benefit from treatment, are warranted. The development of treatment protocols specific for the diverse populations of patients with right cardiac thrombosis is important.

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