Transthoracic real time three-dimensional echocardiography in Impella placement

Echocardiography
Ghassan H Abusaid, Masood Ahmad

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.

References

Nov 24, 2004·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Emanuele CatenaEttore Vitali
Oct 1, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Javier G CastilloGregory W Fischer

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Citations

Mar 29, 2018·Minerva cardioangiologica·Tommaso SannaSerafina Valente

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