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Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve

Good quality echocardiographic images in the setting of critical care medicine may be difficult to obtain for many reasons. We present a case of an 85-year-old woman with acute pulmonary edema and pleural effusion, where transthoracic bedside echocardiographic examination raised a suspicion for sign...

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Autores principales: Mantovani, Francesca, Benfari, Giovanni, Barbieri, Andrea, Manca, Francesco, Guiducci, Vincenzo, Navazio, Alessandro, Clavel, Marie-Annick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260961/
https://www.ncbi.nlm.nih.gov/pubmed/35811731
http://dx.doi.org/10.3389/fcvm.2022.907168
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author Mantovani, Francesca
Benfari, Giovanni
Barbieri, Andrea
Manca, Francesco
Guiducci, Vincenzo
Navazio, Alessandro
Clavel, Marie-Annick
author_facet Mantovani, Francesca
Benfari, Giovanni
Barbieri, Andrea
Manca, Francesco
Guiducci, Vincenzo
Navazio, Alessandro
Clavel, Marie-Annick
author_sort Mantovani, Francesca
collection PubMed
description Good quality echocardiographic images in the setting of critical care medicine may be difficult to obtain for many reasons. We present a case of an 85-year-old woman with acute pulmonary edema and pleural effusion, where transthoracic bedside echocardiographic examination raised a suspicion for significant aortic valve disease. However, given the orthopneic decubitus of the patients, the quality of images was poor. To increase the accuracy of diagnosis, a posterior thoracic view through the pleural effusion in the sitting position was used. This view allowed the diagnosis of mixed aortic valve disease (aortic stenosis and regurgitation) and the quantification of valve disease through multiparametric criteria as recommended by current guidelines. The posterior thoracic view, when feasible, may provide a useful option in the assessment of cardiac structures and further diagnostic information in technically difficult echocardiographic examinations.
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spelling pubmed-92609612022-07-08 Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve Mantovani, Francesca Benfari, Giovanni Barbieri, Andrea Manca, Francesco Guiducci, Vincenzo Navazio, Alessandro Clavel, Marie-Annick Front Cardiovasc Med Cardiovascular Medicine Good quality echocardiographic images in the setting of critical care medicine may be difficult to obtain for many reasons. We present a case of an 85-year-old woman with acute pulmonary edema and pleural effusion, where transthoracic bedside echocardiographic examination raised a suspicion for significant aortic valve disease. However, given the orthopneic decubitus of the patients, the quality of images was poor. To increase the accuracy of diagnosis, a posterior thoracic view through the pleural effusion in the sitting position was used. This view allowed the diagnosis of mixed aortic valve disease (aortic stenosis and regurgitation) and the quantification of valve disease through multiparametric criteria as recommended by current guidelines. The posterior thoracic view, when feasible, may provide a useful option in the assessment of cardiac structures and further diagnostic information in technically difficult echocardiographic examinations. Frontiers Media S.A. 2022-06-23 /pmc/articles/PMC9260961/ /pubmed/35811731 http://dx.doi.org/10.3389/fcvm.2022.907168 Text en Copyright © 2022 Mantovani, Benfari, Barbieri, Manca, Guiducci, Navazio and Clavel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Mantovani, Francesca
Benfari, Giovanni
Barbieri, Andrea
Manca, Francesco
Guiducci, Vincenzo
Navazio, Alessandro
Clavel, Marie-Annick
Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title_full Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title_fullStr Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title_full_unstemmed Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title_short Case Report: Posterior Thoracic Window in the Presence of Pleural Effusion in Critical Care Medicine: One More Chance to Image the Aortic Valve
title_sort case report: posterior thoracic window in the presence of pleural effusion in critical care medicine: one more chance to image the aortic valve
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260961/
https://www.ncbi.nlm.nih.gov/pubmed/35811731
http://dx.doi.org/10.3389/fcvm.2022.907168
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