Contrast transesophageal three dimensional echocardiographic imaging for patent foramen ovale: a needful role?

https://doi.org/10.4081/monaldi.2020.1278

Authors

  • Reem Al Sergani College of Medicine, King Saud University, Riyadh, Saudi Arabia. https://orcid.org/0000-0003-1048-6705
  • Sara Di Michele San Filippo Neri Hospital, Cardiology Division, Rome, Italy. https://orcid.org/0000-0003-0163-3312
  • Abdulhalim J. Kinsara Ministry of National Guard Health Affair, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Research Center, Jeddah, Saudi Arabia. https://orcid.org/0000-0002-6414-8720
  • Domenico Galzerano | domenicogalzerano@libero.it The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. https://orcid.org/0000-0002-9682-3815
  • Olga Vriz The Heart Centre, King Faisal Specialist Hospital & Research Center; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. https://orcid.org/0000-0001-8212-8646
  • Isra Elmahi College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. https://orcid.org/0000-0002-6246-0737
  • Antonio Cittadini Department of Clinical and Surgical Medicine, Federico II University, Naples, Italy.
  • Paolo Colonna Ecocardiografia Basale e Complessa, Azienda Ospedaliera Universitaria, Policlinico di Bari, Italy. https://orcid.org/0000-0001-5864-2012
  • Khaled M. AlKattan The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. https://orcid.org/0000-0002-1372-9883

Abstract

We report a case of a 55-year-old male admitted for cardiogenic embolic ischemic stroke work up. A transesophageal (TE) echocardiography (E) with contrast study to rule out patent foramen ovale (PFO) was performed; two-dimensional (2D) analysis did not detect any bubbles passage during Valsalva manoeuvre in the standard 2D cross sectional planes; further real time three-dimensional (3D) TEE imaging revealed passage of bubbles in the left atrium (LA) by both real-time 3DTEE imaging and by the 2D unconventional cross-sectional planes allowed by 3DTEE imaging. Even though 2DTEE is considered to be the gold standard modality for diagnosing PFO, it has some limitations. It has never been reported about usefulness of 3DTEE in PFO imaging. Even in the presence of only a report, our case suggests that 3DE could have an additional value and will compliment 2D imaging in PFO assessment.

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Published
2020-10-19
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Patent foramen ovale, Transesophageal echocardiography, Three dimensional echocardiography
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How to Cite
Al Sergani, Reem, Sara Di Michele, Abdulhalim J. Kinsara, Domenico Galzerano, Olga Vriz, Isra Elmahi, Antonio Cittadini, Paolo Colonna, and Khaled M. AlKattan. 2020. “Contrast Transesophageal Three Dimensional Echocardiographic Imaging for Patent Foramen Ovale: A Needful Role?”. Monaldi Archives for Chest Disease 90 (4). https://doi.org/10.4081/monaldi.2020.1278.

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