Complications of Echocardiography-Guided Endomyocardial Biopsy

Kirk P. Sloan, Charles J Bruce, Jae Kuen Oh, Charanjit S. Rihal

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

A 77-year-old man underwent echocardiography-guided right ventricular endomyocardial biopsy for suspected cardiac amyloidosis. After the procedure, severe tricuspid regurgitation with a flail posterior leaflet was detected. A myocardial biopsy specimen contained a segment of tricuspid valve chorda tendinea. Endomyocardial biopsy is considered the standard for detecting transplant rejection and evaluating infiltrative cardiomyopathies and myocarditis. Echocardiography complements, and in some institutions has replaced, fluoroscopy as a method of bioptome guidance because of its superior resolution of the tricuspid valve anatomy, endocardial surface, and thin right ventricular free wall and apex. Nevertheless, because of the limitations of 2-dimensional imaging, complications do occur.

Original languageEnglish (US)
JournalJournal of the American Society of Echocardiography
Volume22
Issue number3
DOIs
StatePublished - Mar 2009

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Echocardiography
Tricuspid Valve
Biopsy
Chordae Tendineae
Tricuspid Valve Insufficiency
Fluoroscopy
Myocarditis
Graft Rejection
Amyloidosis
Cardiomyopathies
Anatomy

Keywords

  • Echocardiography
  • Endomyocardial biopsy
  • Fluoroscopy
  • Tricuspid valve

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Complications of Echocardiography-Guided Endomyocardial Biopsy. / Sloan, Kirk P.; Bruce, Charles J; Oh, Jae Kuen; Rihal, Charanjit S.

In: Journal of the American Society of Echocardiography, Vol. 22, No. 3, 03.2009.

Research output: Contribution to journalArticle

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