Use of Intracardiac Echocardiography to Evaluate Continuous-Flow Left Ventricular Assist Device Function in a Man With Obesity

Aortic insufficiency with recirculation can be difficult to diagnose echocardiographically in patients who have continuous-flow left ventricular assist devices. Transthoracic and transesophageal echocardiography can underestimate its severity; moreover, transesophageal echocardiography necessitates...

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Veröffentlicht in:Texas Heart Institute journal 2021-01, Vol.48 (3)
Hauptverfasser: Rohm, Charlene L., Howard, Brian, Lakhani, Baqir, Wilim, Marian, Holden, Rachel W., Snipelisky, David
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container_title Texas Heart Institute journal
container_volume 48
creator Rohm, Charlene L.
Howard, Brian
Lakhani, Baqir
Wilim, Marian
Holden, Rachel W.
Snipelisky, David
description Aortic insufficiency with recirculation can be difficult to diagnose echocardiographically in patients who have continuous-flow left ventricular assist devices. Transthoracic and transesophageal echocardiography can underestimate its severity; moreover, transesophageal echocardiography necessitates general anesthesia. We report the case of a 58-year-old man with obesity and end-stage nonischemic cardiomyopathy who, after 3 months of support with a continuous-flow left ventricular assist device, underwent intracardiac echocardiography to evaluate complications potentially associated with the device. The findings ruled out aortic insufficiency, preventing an unnecessary valvular intervention.
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title Use of Intracardiac Echocardiography to Evaluate Continuous-Flow Left Ventricular Assist Device Function in a Man With Obesity
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