Volumetric and functional assessment of a left ventricular aneurysm from a single acquisition by three-dimensional speckle-tracking echocardiography (from the MAGYAR-Path Study)

2015 ◽  
Author(s):  
Attila Nemes
Keyword(s):  
Functional Assessment ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm

scholarly journals Case Study: Using 3D Speckle Tracking Echocardiography for Left Ventricular Aneurysm Diagnosis

2020 ◽  
pp. 90-95
Author(s):  
O. A. Mazur ◽  
L. M. Hrubyak ◽  
O. V. Kupchynskyi ◽  
N. V. Bankovska
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Left Ventricular Geometry ◽  
Left Ventricular Aneurysm ◽  
Apical Region ◽  
Ventricular Aneurysm

Nowadays magnetic resonance imaging (MRI) is a gold standard for diagnosing abnormalities of left ventricular geometry and function, however, it is not universally accessible. Furthermore, MRI is not compatible with pacemakers and similar devices. 3D speckle tracking echocardiography (3D STE) is a cutting-edge echocardiography imaging technique for myocardial deformation assessment. As such, 3D STE looks very promising for diagnosing structural complications of myocardial infarction (MI) and choosing the optimal surgical techniques. In this case study, we used 3D STE to assess left ventricular function in a patient with left ventricular aneurysm. The patient was admitted to National Amosov Institute of Cardiovascular Surgery three weeks after having a second MI (the first MI was reported 4 years ago). His coronary angiography showed diffuse coronary artery disease. 2D echocardiography (performed on Toshiba Artida) results: end-diastolic volume (EDV) 206 ml, end-systolic volume (ESV) 141 ml, ejection fraction (EF) (Simpson’s method) 31%. An object sized 2.2*1.6 cm was discovered in the apical region (left ventricular thrombus). 3D STE results: EDV 209 ml, ESV 182 ml, EF 13%. Global area strain (GAS) was considerably decreased (–13.7 %) showing the pattern of ischemic cardiomyopathy with multivessel disease. Due to several reasons, it was impossible to obtain an MRI scan, so a CT coronary angiography was performed (Toshiba Aquilion One). The results of multi-slice computed tomography (MSCT) were consistent with those of echocardiography. According to the results, the initial plan to resect the apical akinesia region was ruled out. The patient underwent coronary artery bypass grafting (CABG) (4 shunts), the removal of thrombi from the left ventricle (additional fresh thrombi were discovered during the surgical intervention), and left ventricular aneurysm repair under cardiopulmonary bypass. Post-treatment 3D STE results: EDV dropped to 135 ml, EF rose from 13% to 32%. GAS increased up to –20.4 %, while the strains of all segments increased to subnormal levels. The overall dynamics was positive, and the patient was discharged to undergo postoperative rehabilitation. The case shows that 3D STE data is consistent with CT data in patients with abnormal ventricular remodeling. 3D STE is a good method for differentiation between akinetic scar tissue and a dyskinetic left ventricular aneurysm.

scholarly journals Moderated Posters: Deformation imagingP96How accurate can different strain analysis tools detect regional function?abnormalities, a report from the second inter-vendor comparison?studyP97Variability and reproducibility of segmental longitudinal strain measurements, a report form the second intervendor comparison studyP98Systolic and diastolic left atrial deformation parameters before and after optimization of dual chamber pacemaker parametersP99The timing of the post systolic shortening in prediction of scarred myocardiumP100Altered contribution of longitudinal and radial motion to right ventricular ejection and filling in heart transplant recipientsP101Left ventricular and atrial function in old patients underwent transcatheter aortic valve implantation, evaluated by two and three-dimensional speckle tracking at eighteen-month follow-upP102Age-related changes in left ventricular strain measured by speckle-tracking echocardiography and association with telomere length in healthy peopleP103Intracardiac speckle tracking echocardiography-based method for assessment of pulmonary vein isolation in patients with atrial fibrillation

2016 ◽  
Vol 17 (suppl 2) ◽  
pp. ii9-ii11
Author(s):  
O. Mirea ◽  
O. Mirea ◽  
A. Karuzas ◽  
E. Nestaas ◽  
BK. Lakatos ◽  
...  
Keyword(s):  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Three Dimensional ◽  
Strain Analysis ◽  
Left Ventricular ◽  
Old Patients ◽  
Left Ventricular Strain ◽  
Transcatheter Aortic Valve ◽  
Before And After ◽  
Valve Implantation

scholarly journals P1033Echocardiographic predictive model of new-onset postoperative atrial fibrillation after abdominal surgeryP1034Right ventricular outflow premature contractions induce left ventricular dyssynchronyP1035Simultaneous biventricular impairment after Trastuzumab therapyP1036New multi-layer approach of myocardial deformation by 2D speckle tracking imaging might improve characterization of heart failureP1037Mechanical dyssynchrony and super-response to cardiac resynchronisation therapy in patients with congestive heart failureP1038Prediction of major cardiovascular events in dialysis patients by means of 2D strainP1039Surprisingly frequent findings of subclinical dysfunctional left ventricle in COPD without pulmonary hypertension.P1040Role of 2D speckle tracking echocardiography in the assessment of left atrial function in hypertensive patientsP1041Can speckle tracking echocardiography derived early systolic lengthening duration predict myocardial viability?P1042Certain left ventricular strains are supranormal in elite athletes - a three-dimensional speckle-tracking echocardiographic studyP1043Are biventricular systolic functions impaired in patient with coronoray slow flow? A prospective study with three dimensional speckle trackingP1044Validation of the accuracy and feasibility of new technologies for the assessment of cardiac function in cancer patientsP1045Cardiac computed tomography besides coronary arteries - four years of experience of a high volume cardiovascular centre

2016 ◽  
Vol 17 (suppl 2) ◽  
pp. ii209-ii212
Author(s):  
L. Demirevska ◽  
OA. Enescu ◽  
K. Keramida ◽  
RC. Rimbas ◽  
VA. Kuznetsov ◽  
...  
Keyword(s):  
Speckle Tracking ◽  
New Technologies ◽  
Speckle Tracking Echocardiography ◽  
Three Dimensional ◽  
High Volume ◽  
Cardiac Resynchronisation Therapy ◽  
Left Ventricular ◽  
Major Cardiovascular Events ◽  
2D Speckle Tracking ◽  
A Prospective Study
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