Intracardiac echocardiographic guidance for hemodynamic assessment in a patient with congenital abnormalities and a prosthetic aortic valve

Int J Cardiovasc Intervent. 2005;7(3):138-40. doi: 10.1080/14628840500238425.

Abstract

In this case report, we present the use of intracardiac echocardiography (ICE) for guiding the cardiac catheterization and subsequent hemodynamic investigation in an unusual patient case with multiple congenital abnormalities (bicuspid aortic valve, left cervical aortic arch, two aortic coarctations) and two aortic valve replacement operations in the past. The ICE catheter (AcuNav) permitted us to accurately and safely puncture the interatrial septum and place the Swan-Ganz catheter in the left ventricle; additionally, visualization of the aortic coarctation in the ascending aorta was also achieved.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnostic imaging
  • Abnormalities, Multiple / physiopathology
  • Adult
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / physiopathology
  • Aortic Coarctation / diagnostic imaging
  • Aortic Coarctation / physiopathology
  • Aortic Coarctation / therapy
  • Aortic Valve / abnormalities
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Cardiac Catheterization
  • Echocardiography / methods
  • Echocardiography / standards*
  • Female
  • Heart Defects, Congenital / diagnostic imaging
  • Heart Defects, Congenital / physiopathology*
  • Heart Defects, Congenital / surgery
  • Heart Valve Diseases / congenital
  • Heart Valve Diseases / physiopathology
  • Heart Valve Diseases / therapy
  • Heart Valve Prosthesis Implantation
  • Heart Valve Prosthesis*
  • Hemodynamics / physiology*
  • Humans
  • Mitral Valve / abnormalities
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology