Transthoracic real time three-dimensional echocardiography in impella placement

Ghassan H. Abusaid, Masood Ahmad

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A 33-year-old patient with nonischemic cardiomyopathy presented with cardiogenic shock requiring percutaneous left ventricular assist device placement despite inotropic support. Under transthoracic two-dimensional echocardiographic guidance, an Impella 2.5 L heart pump was placed. The inflow catheter was distal to the aortic valve, however patient remained in shock. Real time three-dimensional transthoracic echocardiography showed the inflow catheter imbedded into the papillary muscle causing inlet occlusion. By cropping 3D data set in multiple planes, a better spatial visualization of the inflow catheter and its distance from the aortic valve was easily obtained and the device was adjusted. (Echocardiography 2012;29:E105-E106) A 33-year-old patient with nonischemic cardiomyopathy presented with cardiogenic shock requiring percutaneous left ventricular assist device placement despite inotropic support. Under transthoracic two-dimensional echocardiographic guidance, an Impella 2.5 L heart pump was placed. The infl ow catheter was distal to the aortic valve, however patient remained in shock. Real time three-dimensional transthoracic echocardiography showed the infl ow catheter imbedded into the papillary muscle causing inlet occlusion. By cropping 3D data set in multiple planes, a better spatial visualization of the infl ow catheter and its distance from the aortic valve was easily obtained and the device was adjusted.

Original languageEnglish (US)
Pages (from-to)E105-E106
JournalEchocardiography
Volume29
Issue number4
DOIs
StatePublished - Apr 1 2012

Keywords

  • cardiomyopathy
  • color Doppler three-dimensional
  • left ventricular assist device
  • real time imaging technique
  • three-dimensional echocardiography
  • three-dimensional transthoracic echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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